| Doctor Name: | JESSICA MARIE URBAN |
| NPI Number: | 1063741296 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., R.D., L.D. |
| License Number: | DT81388 |
| Business Practice Address: | 100 Hillcrest Medical Blvd Waco, TX - 767128897 |
| Business Phone Number: | 2542022000 |
| Business Fax Number: | |
| Mailing Address: | 100 Hillcrest Medical Blvd, P.o. Box 21146 WACO |
| State: | TX |
| Postal Code: | 767128897 |
| Phone Number: | 2542023955 |
| Fax Number: | 2542023949 |
| NPI Enumeration Date: | 12/17/2009 |
| NPI Last Update Date: | 12/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DT81388 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |