NPI 1427280874 · live from the CMS NPI Registry
Jessica Lynn Enders, RD/LD
Dietitian, Registered in Henderson, NV. National Provider Identifier 1427280874, active.
NPI record
| NPI | 1427280874 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 528 Sol De Sandia St, Henderson, NV 89015 |
| Practice phone | 770-262-5568 |
| Enumerated | August 19, 2009 |
| Last updated | March 21, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 34408DI-0 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.