Individual
MISS JESSICA DIANE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
202 MEDICAL CAMPUS DR, BURNSVILLE, NC 28714-9004
(828) 682-1940
Mailing address
202 MEDICAL CAMPUS DR, BURNSVILLE, NC 28714-9004
(828) 682-1940
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004999
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1062088
COMMISSION ON DIETETIC REGISTRATION
NC
01
—
L004999
NORTH CAROLINA BOARD OF DIETETICS/NUTRITION
NC
Enumeration date
10/10/2016
Last updated
10/10/2016
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