Jessica Weissman, PhD, RD, LDN
Dietitian, Registered in West Melbourne, FL. Individual provider (NPI-1).
NPI number1104346840
StatusActive
Last updated in NPPESMay 24, 2022
Details
- NPI
- 1104346840
- Entity type
- Individual (NPI-1)
- Name
- Jessica Weissman
- Credential
- PhD, RD, LDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2017
- Certification date
- May 24, 2022
- Last updated
- May 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | ND5985 | FL | Yes |
| 133V00000X | Dietitian, Registered | 1033616 | – |
Practice location
3571 Joslin WayWest Melbourne, FL 32904-6400
Phone 954-483-9070
Mailing address
3571 Joslin WayWest Melbourne, FL 32904-6400
Phone 954-483-9070
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