Hazen, Jessica Ann

Hazen, Jessica Ann is an individual health care provider with primary practice located at 2502 E 4Th Plain Blvd , Vancouver WA 98661-3965. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric, Other Service Providers / Lactation Consultant, Non-RN. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Hazen, Jessica Ann can be contacted via phone (360) 397-8459.

Contact Information

Primary practice address
2502 E 4Th Plain Blvd Vancouver WA 98661-3965
Phone: (360) 397-8459
Fax: (360) 397-4367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD-D-10190313 Oregon
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X LD-D-10190313 Oregon
Other Service Providers / Lactation Consultant, Non-RN 174N00000X LD-D-10190313 Oregon
Other Service Providers / Lactation Consultant, Non-RN 174N00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI60841895 Washington

Profile Details

NPI number 1144726019
LBN Legal business name Hazen, Jessica Ann
Credentials MS, RD, IBCLC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2018
Last updated Aug 9th, 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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