NPI 1407375587 · live from the CMS NPI Registry
Jenna P Cope, MPH, RD, LD
Dietitian, Registered in Shiprock, NM. National Provider Identifier 1407375587, active.
NPI record
| NPI | 1407375587 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | Hwy 491 North, P.O. Box 160, Shiprock, NM 87420 |
| Practice phone | 505-368-6001 |
| Enumerated | September 11, 2017 |
| Last updated | September 11, 2017 |
| Sole proprietor | No |
| Other names | Jenna Tallaksen |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered, Nutrition, Pediatric | 133VN1004X | LD-1148 (NM) |
| Dietitian, Registered primary | 133V00000X | LD-1148 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.