Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA JEAN LONG, RD
Active Sole ProprietorPediatric Nutrition · WORCESTER, MA
Registration Details
- NPI Number
- 1437760923
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 10, 2020 (5.6985297758959 yrs)
- Last Updated
- Mar 29, 2021
- Licenses
-
86147917 (NH)5190 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
55 LAKE AVE NWORCESTER, MA, 016550002Browse MA providers · Browse ZIP 01655
- Phone
- 7744417615
- Fax
- 5088564287
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
- Additional Specialty
- Pediatric Nutrition
Other Pediatric Nutrition Providers in WORCESTER, MA
| Name | Credential | NPI |
|---|---|---|
| MELANIE MALETTA | RD, LDN, CNSD | 1376746420 |
| VANESSA K LAFFERT | RD | 1639378755 |
| LESLIE ANNE SONG | RD | 1790961126 |
| KIMBERLY NELL RYAN | MS, RD, LDN | 1598084436 |
| SUSAN ANNE TRIPP | MS, RD, LDN, CNSC | 1043874886 |
| PAYTON E MAHONEY | MS, RD | 1881457331 |
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.