Whalio Doctors

NPI 1053975987

Jessica Grace Anderson, MSRDCSSDLDEPC

Practitioner Nutritionist Fort Bragg, NC

Practice location

Address
2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310-5438
Phone
(910) 907-8116
Fax
(910) 907-6069
Mailing address
Womack Army Medical Center 2817 Rock Merritt Ave, Fort Bragg, NC 28310-0001

Registered specialties (3)

Nutritionist Primary
Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence L007668 (NC)
Nutritionist
Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence 08619 (OH)
Registered Dietitian
Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence LD.08619 (OH)

Registry record

NPI
1053975987
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Apr 2019
Record last updated
20 Mar 2025

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.