Individual
MRS. JILL ELIZABETH BARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
3095 LEXINGTON AVE STE 200, CAPE GIRARDEAU, MO 63701-2629
(573) 803-4060
Mailing address
7 N OAK ST, PERRYVILLE, MO 63775-2732
(573) 823-4535
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2007033150
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007033150
MISSOURI LICENSE
MO
Enumeration date
11/19/2007
Last updated
05/27/2022
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