NPI 1225396575 JESSIE MAE SULLIVAN RD SAINT LOUIS MO. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Jessie Mae Sullivan - NPI: 1225396575

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: JESSIE MAE SULLIVAN
NPI Number: 1225396575
Entity Type Code: Individual (1)
Gender: F
Credentials: RD
License Number:
Business Practice Address: 12647 Olive Blvd
Saint Louis, MO - 631416393
Business Phone Number: 8003253982
Business Fax Number:
Mailing Address: 12647 Olive Blvd,
SAINT LOUIS
State: MO
Postal Code: 631416393
Phone Number: 8003253982
Fax Number:
NPI Enumeration Date: 04/24/2012
NPI Last Update Date: 04/24/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 133V00000X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
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


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