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Jessica Crump Anderson, RDN

Dietitian, Registered in Alvaton, KY. Individual provider (NPI-1).

NPI number1982133567
StatusActive
Last updated in NPPESJun 7, 2017

Details

NPI
1982133567
Entity type
Individual (NPI-1)
Name
Mrs. Jessica Crump Anderson
Credential
RDN
Sex
Female
Sole proprietor
No
Enumeration date
Jun 7, 2017
Last updated
Jun 7, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered123108KYYes

Practice location

26 Farley Ln
Alvaton, KY 42122-8616

Mailing address

26 Farley Ln
Alvaton, KY 42122-8616

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