NPI 1407508336 · live from the CMS NPI Registry
Jocelyn M Johnson, RDN, LDN
Dietitian, Registered in Cheyenne, WY. National Provider Identifier 1407508336, active.
NPI record
| NPI | 1407508336 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1458 Fire Star Dr, Cheyenne, WY 82009 |
| Practice phone | 307-220-2720 |
| Enumerated | January 21, 2022 |
| Last updated | January 21, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 086030236 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.