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Individual
JESSICA CARPENTER
Active
Individual
JESSICA CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MS, RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
084447
IA
133V00000X
Registered Dietitian
1401
ND
133V00000X
Registered Dietitian
1566
NE
133V00000X
Registered Dietitian
3607
LA
133V00000X
Registered Dietitian
450
WY
133V00000X
Registered Dietitian
D2350
MS
133V00000X
Registered Dietitian
Primary
LD006614
GA
Other
Enumeration date
04/23/2017
Last updated
01/25/2024
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