Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA ELLEN BLACK, MS, NC
Active Sole ProprietorJESSICA ELLEN BLACK, MS, NC is a Nutritionist healthcare provider located in EL CERRITO, California. NPI 1992311120 is currently active in the NPPES registry. Verify at CMS.
Nutritionist · EL CERRITO, CA
Registration Details
- NPI Number
- 1992311120
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 22, 2020 (5.9173252824732 yrs)
- Last Updated
- Sep 22, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
1239 LIBERTY ST APT 225EL CERRITO, CA, 945302347Browse CA providers · Browse ZIP 94530
- Phone
- 5107052680
- Primary Specialty
-
Nutritionist
133N00000X
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.