Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA THORNTON, RDN, CSP, CLC, LDN
Active Sole ProprietorPediatric Nutrition · AVON, IN
Registration Details
- NPI Number
- 1760099956
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 30, 2020 (5.5588124172021 yrs)
- Last Updated
- Sep 30, 2020
- License
-
37001291A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5919 PINE BLUFF DRAVON, IN, 461236681Browse IN providers · Browse ZIP 46123
- Phone
- 3175082066
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
- Additional Specialty
- Pediatric Critical Care Nutrition
- Additional Specialty
- Sports Dietetics
- Additional Specialty
- Pediatric Nutrition
Other Pediatric Nutrition Providers in AVON, IN
| Name | Credential | NPI |
|---|---|---|
| MRS. SHERI LYNN GLAZE | R.D.C.D. | 1962523597 |
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.