Jennifer Cooley Baxter
Individual provider Active NPI Nutritionist · Magnolia, TX
NPI 1285357707 · NPPES record last updated Sep 20, 2022
Key facts
- NPI
- 1285357707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutritionist 133N00000X
- Practice address
- 33523 Thousand Oaks Blvd
Magnolia, TX 77354-6262 - Phone
- (559) 816-6627
- NPI assigned
- Sep 20, 2022
- 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)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Yes |
Addresses
Primary practice location
33523 Thousand Oaks Blvd
Magnolia, TX 77354-6262
Mailing address
33523 Thousand Oaks Blvd
Magnolia, TX 77354-6262
Phone (559) 816-6627
Other providers in Magnolia, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2022. 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.