Roberta O'Connor Jupp in Lexington - Dietitian, Registered

Roberta O'Connor Jupp - NPI 1659405512

Roberta O'Connor Jupp is a Dietitian, Registered in Lexington, South Carolina. Roberta O'Connor Jupp practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Roberta O'Connor Jupp is 1659405512. The last update date is 2023-04-26.

Roberta O'Connor Jupp's current location address is 723 Elliptic Green Ln, Lexington, South Carolina. You can contact this provider via phone number 8036229104 and fax number 8037283224. The mailing address for Roberta O'Connor Jupp is 723 Elliptic Green Ln, Lexington, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Roberta O'Connor Jupp
Address 723 Elliptic Green Ln, Lexington, South Carolina
Phone Number 8036229104
Fax Number 8037283224
Sole Proprietor Y
Credentials RD

NPI Number Detail

NPI Number 1659405512
Provider Enumeration Date 2007-03-15
Last Updated Date 2023-04-26

Provider Mailing Address Detail

Address 723 Elliptic Green Ln
City Lexington
State South Carolina (SC)
Post Code 290737057
Phone Number 8036229104
Fax Number 8037283224

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 726464
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DPE012 SC --

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FAQs about Roberta O'Connor Jupp

What is the Roberta O'Connor Jupp's unique identification number?

The Roberta O'Connor Jupp has been assigned the NPI (National Provider Identifier) Number 1659405512 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Roberta O'Connor Jupp is physically located?

The Roberta O'Connor Jupp is physically situated at the following address: 723 Elliptic Green Ln, Lexington, SC, 290737057.

What is Roberta O'Connor Jupp's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Roberta O'Connor Jupp is Dietitian, Registered, and the taxonomy code that classifies this field of practice is 133V00000X.

On what date did the Roberta O'Connor Jupp receive the assignment of its 1659405512 from the Centers for Medicare & Medicaid Services?

The Roberta O'Connor Jupp was issued its 1659405512 by the Centers for Medicare & Medicaid Services on 2007-03-15.

When was the information regarding Roberta O'Connor Jupp, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Roberta O'Connor Jupp, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-04-26.

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