Organization
CUSTOM NUTRITION COACHING CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA NICOLE HUMPHRIES MS, RDN, LDN, CDCES (OWNER, RDN)
(618) 541-1981
Entity
Organization
Contact information
Practice address
56 E REDFORD CT, SAINT CHARLES, MO 63304-5048
(618) 541-1981
Mailing address
56 E REDFORD CT, SAINT CHARLES, MO 63304-5048
(618) 541-1981
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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