NPI 1003323692

Jackie L Havel, RD

Practitioner Registered Dietitian Oneida, WI

Practice location

Address: 525 Airport Dr, Oneida, WI 54155-9035
Phone: (920) 869-2711
Fax: (920) 869-1782
Mailing address: PO Box 365, Oneida, WI 54155-0365

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 2615-29 (WI)

Other Dietitian, Registered providers in Wisconsin →

Registry record

NPI: 1003323692
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jan 2018
Record last updated: 4 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.