Individual
JESSICA LYN GLOSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2771 MONUMENT RD STE 33, JACKSONVILLE, FL 32225-3524
(904) 450-6090
Mailing address
2771 MONUMENT RD STE 33, JACKSONVILLE, FL 32225-3524
(904) 450-6090
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
ND8145
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86068054
CDR REGISTRATION ID NUMBER
—
01
—
ND8145
FLORIDA RDN LICENSE NO.
FL
Enumeration date
02/13/2020
Last updated
01/27/2021
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