Jennifer Ann Clausen, RD

Individual provider Active NPI Registered Dietitian · Ripon, WI

NPI 1770110231 · NPPES record last updated Apr 8, 2020

Key facts

NPI
1770110231
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
Practice address
W12727 Locust Rd
Ripon, WI 54971-9703
Phone
(262) 993-5718
NPI assigned
Mar 25, 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)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X WI Yes

Addresses

Primary practice location

W12727 Locust Rd
Ripon, WI 54971-9703

Mailing address

W12727 Locust Rd
Ripon, WI 54971-9703
Phone (262) 993-5718

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL Ripon

Other providers in Ripon, WI

All providers in Ripon, WI · Registered Dietitian in Wisconsin

Sources for this page

Verify at the official NPI Registry.