Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNA LADER, MS, RDN, CSPCC, LD
ActivePediatric Nutrition · SAINT PAUL, MN
Registration Details
- NPI Number
- 1356211866
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 10, 2025 (0.4464910765592 yrs)
- Last Updated
- Nov 10, 2025
- License
-
2747 (MN)
Practice Information
- Address
-
345 SMITH AVE NSAINT PAUL, MN, 551022346Browse MN providers · Browse ZIP 55102
- Phone
- 6512208183
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.