NPI 1497012389 · live from the CMS NPI Registry
Jean Marie Brown, RD
Dietitian, Registered in St. Louis, MO. National Provider Identifier 1497012389, active.
NPI record
| NPI | 1497012389 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 12303 Depaul Drive, St. Louis, MO 63044 |
| Practice phone | 314-344-6000 |
| Mailing address | 11 Pricemont Dr, Saint Louis, MO 63132 |
| Enumerated | April 16, 2012 |
| Last updated | April 16, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2005001322 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.