Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA B DOORN, RD
ActivePediatric Nutrition · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1407487424
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 29, 2020 (6.2273100831071 yrs)
- Last Updated
- Jan 29, 2020
Practice Information
- Address
-
100 MICHIGAN ST NEGRAND RAPIDS, MI, 495032560Browse MI providers · Browse ZIP 49503
- Phone
- 6163916814
- Fax
- 6163913892
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| ELISABETH FABER | RD | 1588966477 |
| KATHERINE JANE BOSS | RD, CSP | 1639842545 |
| MRS. KRISTIN JAYNE BERGMAN | RD, CSP | 1184328452 |
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.