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MISS JESSICA GRACE ANDERSON MSRDCSSDLDEPC NPI 1053975987


NPI Information

NPI: 1053975987
Provider Name: MISS JESSICA GRACE ANDERSON, MS,RD,CSSD,LD,EPC
Classification: Nutritionist - 133N00000X
Entity Type: Individual
Address:
USA MEDDAC
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY
ZIP 13602
Phone: (315) 772-1277
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MISS Jessica Grace Anderson, MS,RD,CSSD,LD,EPC is a nutritionist in Fort Drum, NY. The provider is a specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. MISS Jessica Grace Anderson, MS,RD,CSSD,LD,EPC NPI is 1053975987. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

USA MEDDAC
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY
ZIP 13602-438
Phone: (315) 772-1277

The enumeration date for this NPI number is 4/25/2019 and was last updated on 3/2/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, RegisteredLD.08619OHIONo
2133N00000XNutritionist08619OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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