Individual
NIKKI JUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
1928 5TH ST APT 27, SPRINGFIELD, OR 97477-2291
(254) 366-9204
Mailing address
1928 5TH ST APT 27, SPRINGFIELD, OR 97477-2291
(254) 366-9204
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT83422
TX
133V00000X
Registered Dietitian
Primary
LD-D-10182602
OR
Other
Enumeration date
06/14/2020
Last updated
06/14/2020
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