Individual
JESSICA ROSE LINCOLN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD, CNSC
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86108412
AZ
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
10/01/2021
Last updated
10/25/2021
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