NPI 1093305674

Jessica Lauren Thongparn, RD

Practitioner Registered Dietitian Derby, CT

Practice location

Address: 204 New Haven Ave Unit 8c, Derby, CT 06418-2150
Phone: (860) 806-5013

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 957503 (CT)

Other Dietitian, Registered providers in Connecticut →

Registry record

NPI: 1093305674
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jan 2021
Record last updated: 19 Jan 2021

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.