Individual
MRS. JESSICA ARDEN LIPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1505 MEDICAL CENTER DR, WILMINGTON, NC 28401-7507
(910) 239-3562
Mailing address
1505 MEDICAL CENTER DR, WILMINGTON, NC 28401-7507
(910) 239-3562
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005276
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86083333
ACADEMY OF NUTRITION AND DIETETICS
—
01
—
L005276
NORTH CAROLINA BOARD OF DIETETICS/NUTRITION
NC
Enumeration date
08/23/2017
Last updated
07/21/2022
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