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NPI Code Detail

MEDICARE: JESSICA MORTON RDN, LD

MEDICARE:   JESSICA  MORTON  RDN, LD
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 DietitianDT85042TX

General Provider Information

NPI Number : 1255828505
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA MORTON RDN, LD
Provider Business Mailing Address
First Line : 3550 MAIN ST APT 7306
Second Line :
City : HOUSTON
State : TX
Zip : 77002-9692
Country : US
Telephone Number : 281-851-2059
Fax Number :
Provider Business Practice Location Address
First Line : 720 N POST OAK RD STE 280
Second Line :
City : HOUSTON
State : TX
Zip : 77024-3813
Country : US
Telephone Number : 832-306-3656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2018
Last Update Date : 04/21/2018

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Directions to “ JESSICA MORTON RDN, LD” Practice Location

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