NPI 1447728357

Tina Jorgensen, MSRDNCD

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 2063 (WI)

Other Dietitian, Registered providers in Wisconsin →

Registry record

NPI: 1447728357
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Nov 2018
Record last updated: 8 Nov 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.