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Jessica Konevitchenko

Dietitian, Registered, Nutrition, Pediatric in Dallas, TX. Individual provider (NPI-1).

NPI number1609784149
StatusActive
Last updated in NPPESAug 27, 2026

Details

NPI
1609784149
Entity type
Individual (NPI-1)
Name
Jessica Konevitchenko
Sex
Female
Sole proprietor
No
Enumeration date
Aug 27, 2026
Certification date
Aug 27, 2026
Last updated
Aug 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133VN1004X Dietitian, Registered, Nutrition, Pediatric––Yes

Practice location

1935 Medical District Dr
Dallas, TX 75235-7701

Phone 214-456-7000

Mailing address

1935 Medical District Dr
Dallas, TX 75235-7701

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