Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROOKE CAMPBELL JEPPESEN, RD
Active Sole ProprietorBROOKE CAMPBELL JEPPESEN, RD is a Registered Dietitian healthcare provider located in MALTA, Idaho. NPI 1821963653 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · MALTA, ID
Registration Details
- NPI Number
- 1821963653
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 9, 2025 (0.82059616605556 yrs)
- Last Updated
- Oct 9, 2025
- License
-
6171981 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2502 S JUNIPER RDMALTA, ID, 833428004Browse ID providers · Browse ZIP 83342
- Phone
- 2086700776
- Fax
- 2086700776
- Primary Specialty
-
Registered Dietitian
133V00000X
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.