Individual
JESSICA ELDREDGE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MNT, MS, RD, LDN
Contact information
Practice address
504 S 13TH ST, LIVINGSTON, MT 59047-3727
(406) 823-6604
(406) 823-6602
Mailing address
504 S 13TH ST, LIVINGSTON, MT 59047-3727
(406) 823-6604
(406) 823-6602
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
501
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
298738
BCBS
MT
Enumeration date
02/02/2007
Last updated
07/23/2014
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