Jessica Ann Brown, RD
Individual provider Active NPI Registered Dietitian · Spring Valley, IL
NPI 1245838176 · NPPES record last updated Oct 13, 2020
Key facts
- NPI
- 1245838176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 164007595 (IL)
- Practice address
- 600 E 1St St
Spring Valley, IL 61362-1512 - Phone
- (815) 664-1360
- NPI assigned
- Oct 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164007595 | IL | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164007595 | IL | Yes |
Addresses
Primary practice location
600 E 1St St
Spring Valley, IL 61362-1512
Mailing address
600 E 1St St
Spring Valley, IL 61362-1512
Other names
- Jessica Ann Adams
Other providers in Spring Valley, IL
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- Edgar Alexander Barrios
- Joleen Alexis Bice
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- Stacy Bland
- Central Illinois Pulmonary & Critical Care Associates
- Janet M Cetwinski
- Michael Joseph Condon
- Mario E Cote
- Marilyn Csernus
All providers in Spring Valley, IL · Registered Dietitian in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.