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NPI Code Detail

MEDICARE: JESSICA JONES REGISTERED DIETITIAN

MEDICARE:   JESSICA  JONES  REGISTERED DIETITIAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1225607666
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA JONES REGISTERED DIETITIAN
Provider Business Mailing Address
First Line : 5314 SUNFLOWER CT
Second Line :
City : LIVERMORE
State : CA
Zip : 94551-1363
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2441 CONSTITUTION DR
Second Line :
City : LIVERMORE
State : CA
Zip : 94551-7573
Country : US
Telephone Number : 209-442-6077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2021
Last Update Date : 10/14/2025

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Directions to “ JESSICA JONES REGISTERED DIETITIAN” Practice Location

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