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Organization

NUTRITION THAT HEALS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA CANNON MS, RDN, LDN (OWNER AND REGISTERED DIETITIAN NUTR)
(717) 208-2368
Entity
Organization

Contact information

Practice address
554 W KING ST STE 109, LANCASTER, PA 17603-3661
(717) 208-2368
Mailing address
618 1ST ST, LANCASTER, PA 17603-3622

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
187122840
PA
Enumeration date
09/23/2022
Last updated
05/13/2026
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