NPI 1033521323

Jessica R. Stevens, RD

Practitioner Registered Dietitian Springfield, IL

Practice location

Address: 2200 Wabash Ave, Springfield, IL 62704-5352
Phone: (217) 528-7541
Mailing address: 1025 S 6th St, Springfield, IL 62703-2403

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 164006198 (IL)

Other Dietitian, Registered providers in Illinois →

Registry record

NPI: 1033521323
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2014
Record last updated: 11 Feb 2015

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.