Healthcare Provider Details

I. General information

NPI: 1043910904
Provider Name (Legal Business Name): BILLIE JEAN SESSIONS MS, RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2023
Last Update Date: 03/08/2023
Certification Date: 12/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4458 N 2525 W
CEDAR CITY UT
84721-8461
US

IV. Provider business mailing address

4458 N 2525 W
CEDAR CITY UT
84721-8461
US

V. Phone/Fax

Practice location:
  • Phone: 435-749-9731
  • Fax:
Mailing address:
  • Phone: 435-749-9731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86040758
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: