| Doctor Name: | JESSICA L BETTICK |
| NPI Number: | 1801252580 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 225 Oak Springs Dr Suite 201 Warrenton, VA - 201862187 |
| Business Phone Number: | 5408785408 |
| Business Fax Number: | 5408785731 |
| Mailing Address: | 52 W Shirley Ave, WARRENTON |
| State: | VA |
| Postal Code: | 201863008 |
| Phone Number: | 5403479220 |
| Fax Number: | 5403473869 |
| NPI Enumeration Date: | 01/11/2016 |
| NPI Last Update Date: | 01/11/2016 |
| 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 |