NPI 1336812049 · live from the CMS NPI Registry
Jenna Rose Christianson, RD
Dietitian, Registered in Bryant, SD. National Provider Identifier 1336812049, active.
NPI record
| NPI | 1336812049 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 19518 430th Ave, Bryant, SD 57221 |
| Practice phone | 605-690-0976 |
| Enumerated | July 28, 2021 |
| Last updated | July 28, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | — |
| Dietitian, Registered primary | 133V00000X | 0775 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.