Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY JONES
ActivePediatric Nutrition · MESA, AZ
Registration Details
- NPI Number
- 1811452014
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 1, 2019 (7.2342167945922 yrs)
- Last Updated
- Jun 7, 2019
- Licenses
-
949607 (AZ)949607 (CA)
Practice Information
- Address
-
5131 E SOUTHERN AVEMESA, AZ, 852062799Browse AZ providers · Browse ZIP 85206
- Phone
- 6029330418
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
- Additional Specialty
- Pediatric Nutrition
Other Pediatric Nutrition Providers in MESA, AZ
| Name | Credential | NPI |
|---|---|---|
| DAYNA CLINE | RD | 1477013472 |
| CARISSA GORMAN | — | 1982567392 |
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.