Individual
BROOKE CAMPBELL JEPPESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2502 S JUNIPER RD, MALTA, ID 83342-8004
(208) 670-0776
(208) 670-0776
Mailing address
2502 S JUNIPER RD, MALTA, ID 83342-8004
(208) 670-0776
(208) 670-0776
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6171981
ID
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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