Anderson, Jessica Grace

Anderson, Jessica Grace is an individual health care provider with primary practice located at Usa Meddac 11050 Mount Belvedere Blvd, Fort Drum NY 13602-5438. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutritionist. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Anderson, Jessica Grace can be contacted via phone (315) 772-1277.

Contact Information

Primary practice address
Usa Meddac 11050 Mount Belvedere Blvd Fort Drum NY 13602-5438
Phone: (315) 772-1277
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD.08619 Ohio
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 08619 Ohio

Profile Details

NPI number 1053975987
LBN Legal business name Anderson, Jessica Grace
Credentials MS,RD,CSSD,LD,EPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2019
Last updated Mar 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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