Individual
JESSICA BOSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
2 LOGAN SQ STE 300, PHILADELPHIA, PA 19103-2733
(267) 566-9249
Mailing address
1515 LATONA ST, PHILADELPHIA, PA 19146-3126
(267) 566-9249
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN008468
PA
Other
Enumeration date
03/22/2024
Last updated
02/04/2026
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