NPI 1629527270 · live from the CMS NPI Registry
Jessica L Cardin, MS RD CSSD LD/N
Dietitian, Registered in Hurlburt Field, FL. National Provider Identifier 1629527270, active.
NPI record
| NPI | 1629527270 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1 Hume Drive, Hurlburt Field, FL 32544 |
| Practice phone | 808-474-2698 |
| Mailing address | 2001 Victor Wharf Access Rd, Pearl City, HI 96782 |
| Enumerated | September 23, 2016 |
| Last updated | July 17, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 86012244 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.