Doctor Name: | JODY JEANNE JOHNSON |
NPI Number: | 1811938459 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 2433 |
Business Practice Address: | 559 Capitol Blvd Saint Paul, MN - 551032101 |
Business Phone Number: | 6512322000 |
Business Fax Number: | 6512322118 |
Mailing Address: | 5105 38th Ave S, MINNEAPOLIS |
State: | MN |
Postal Code: | 554171649 |
Phone Number: | 6513737780 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2433 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |