Jessica Ann Campbell, RD, LD
Individual provider Active NPI Registered Dietitian · Saint Louis, MO
NPI 1730203449 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1730203449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2005001323 (MO)
- Practice address
- 4000 Jennings Station Rd
Saint Louis, MO 63121-3323 - Phone
- (314) 679-7830
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of St Louis Division of Fiscal Management | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2005001323 | MO | Yes |
Addresses
Primary practice location
4000 Jennings Station Rd
Saint Louis, MO 63121-3323
Mailing address
2705 Pomme Meadows Dr
Arnold, MO 63010-2868
Phone (314) 650-2624
Other providers in Saint Louis, MO
- David C Campbell
- Dewitt Campbell III
- Donna E Campbell
- Hannah Carey Campbell
- Heather Michelle Campbell
- Karen Brooke Campbell
- L'Oreal Campbell
- Lisa Marie Campbell
- Madylin Campbell
- Megan Theresa Campbell
All providers in Saint Louis, MO · Registered Dietitian in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.