Individual
JESSICA SUSAN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37003025A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86093101
CDR
—
Enumeration date
12/08/2025
Last updated
12/08/2025
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