NPI 1760439061 · live from the CMS NPI Registry
Jennifer S Goetz, LRD
Dietitian, Registered in Fargo, ND. National Provider Identifier 1760439061, active.
NPI record
| NPI | 1760439061 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 801 Broadway N, Fargo, ND 58102 |
| Practice phone | 701-234-2000 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | May 30, 2006 |
| Last updated | August 24, 2023 |
| Sole proprietor | No |
| Other names | Jennifer Borgen |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 685 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.