Jessica Rae Erickson, RD
Dietitian, Registered in Worcester, MA. Individual provider (NPI-1).
NPI number1982129060
StatusActive
Last updated in NPPESDec 18, 2019
Details
- NPI
- 1982129060
- Entity type
- Individual (NPI-1)
- Name
- Jessica Rae Erickson
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2017
- Certification date
- Dec 18, 2019
- Last updated
- Dec 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Other names
- Jessica Rae Krause (Former Name)
Practice location
55 Lake Ave NWorcester, MA 01655-0002
Phone 724-443-3479
Mailing address
55 Lake Ave NWorcester, MA 01655-0002
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