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

MRS. JENNIFER ROACH

Active Sole Proprietor

MRS. JENNIFER ROACH is a Registered Dietitian healthcare provider located in MOUNT SHASTA, California. NPI 1972304616 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · MOUNT SHASTA, CA

Registration Details

NPI Number
1972304616
Provider Type
Individual
Gender
Female
NPI Issued
Mar 20, 2025 (1.3969303511315 yrs)
Last Updated
Jun 17, 2025
License
819436 (CA)
Sole Proprietor
Yes

Practice Information

Address
408 PINE ST
MOUNT SHASTA, CA, 960672126
Browse CA providers · Browse ZIP 96067
Phone
5309267196
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in MOUNT SHASTA, CA

Name Credential NPI
ELAINE PATTERSON RDN 1033585583
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.