Jerilyn R Abba in Ripon - Dietitian, Registered

Jerilyn R Abba - NPI 1487725172

Jerilyn R Abba is a Dietitian, Registered in Ripon, Wisconsin. Jerilyn R Abba practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Jerilyn R Abba is 1487725172. The last update date is 2007-07-08.

Jerilyn R Abba's current location address is 933 Newbury St, Ripon, Wisconsin. You can contact this provider via phone number 9207489495. The mailing address for Jerilyn R Abba is 933 Newbury St, Ripon, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerilyn R Abba
Address 933 Newbury St, Ripon, Wisconsin
Phone Number 9207489495
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1487725172
Provider Enumeration Date 2006-11-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 933 Newbury St
City Ripon
State Wisconsin (WI)
Post Code 549711730
Phone Number 9207489495
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 1004-029
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
1004-029 WI STATE CERTIFICATION NUMBE

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FAQs about Jerilyn R Abba

What is the unique 10-digit identification code issued to Jerilyn R Abba by the Centers for Medicare & Medicaid Services?

The Jerilyn R Abba has been assigned the NPI (National Provider Identifier) 1487725172 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Jerilyn R Abba is physically located?

The Jerilyn R Abba is situated at the following address: 933 Newbury St, Ripon, WI 549711730.

What is Jerilyn R Abba's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jerilyn R Abba's specialized field of practice is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of specialization is 133V00000X.

On what date did the Jerilyn R Abba receive the assignment of its 1487725172 from the Centers for Medicare & Medicaid Services?

The Jerilyn R Abba was issued its 1487725172 by the Centers for Medicare & Medicaid Services on 2006-11-13.

When was the information regarding Jerilyn R Abba, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jerilyn R Abba, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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