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Individual

MS. JESSICA L COLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN, LDN

Contact information

Practice address
324 S 14TH ST, ST CHARLES, IL 60174-2511
(502) 530-4812
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
(615) 425-4200

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2022006384
MO
133V00000X
Registered Dietitian
4942
MN
133V00000X
Registered Dietitian
86107865
133V00000X
Registered Dietitian
LD.10040
OH
133V00000X
Registered Dietitian
ND12076
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
115071
STATE OF IOWA BOARD OF DIETETICS
IA
01
164.008463
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
01
2022006384
MISSOURI DIVISION OF PROFESSIONAL REGISTRATION
MO
01
3391
ALABAMA BOARD OF DIETETICS AND NUTRITIONIST
AL
01
86107865
COMMISSION ON DIETETIC REGISTRATION
Enumeration date
11/16/2021
Last updated
06/11/2024
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