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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK NICKEL, RD

Active Sole Proprietor

JACK NICKEL, RD is a Registered Dietitian healthcare provider located in TEMPE, Arizona. NPI 1952903916 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · TEMPE, AZ

Registration Details

NPI Number
1952903916
Provider Type
Individual
Gender
Male
NPI Issued
Nov 13, 2020 (5.7973031944215 yrs)
Last Updated
Nov 13, 2020
Sole Proprietor
Yes

Practice Information

Address
1840 E BROADWAY RD
TEMPE, AZ, 852821614
Browse AZ providers · Browse ZIP 85282
Phone
4802050338
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in TEMPE, AZ

Name Credential NPI
PAULA MURPHY RD CDE 1780762203
MRS. KATIE J MCWHIRTER MS, RD 1972899201
LEAH J. RUCKER R.D. 1336423128
TRACEY A. GRANT RD 1033486972
LEAH PAIZ MCCULLEY R.D. 1558605923
BRENT LAESCH RD, LD. 1235534652
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.