Jessica Ann Iannotta, RD
Dietitian, Registered in Monroe, CT. Individual provider (NPI-1).
NPI number1164043915
StatusActive
Last updated in NPPESJan 11, 2025
Details
- NPI
- 1164043915
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jessica Ann Iannotta
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 4, 2020
- Certification date
- Jan 11, 2025
- Last updated
- Jan 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 001665 | CT | Yes |
| 133VN1301X | Dietitian, Registered, Nutrition, Oncology | 001665 | CT |
Practice location
324 Elm St Ste 203aMonroe, CT 06468-2282
Phone 646-247-8589
Mailing address
99 Settlers Farm RdMonroe, CT 06468-3324
Phone 646-247-8589
Other practice locations
300 Orchard St Rm E2100
New Haven, CT 06511-4412
New Haven, CT 06511-4412
Phone 203-785-6060
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