Individual
JESSICA CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, IBCLC
Contact information
Practice address
114 S MAIN ST STE 206, MOUNT AIRY, MD 21771-5420
(301) 703-5132
Mailing address
629 WILMOT RIDGE RD, WESTMINSTER, MD 21157-7354
(281) 658-3044
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1009182
—
174N00000X
Lactation Consultant (Non-RN)
L-70339
—
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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