Miss Jessica Grace Anderson, MS,RD,CSSD,LD,EPC is a
Nutritionist based in Fort Liberty, North Carolina. Miss Jessica Grace Anderson is licensed to practice in Ohio (license number 08619) and her current practice location is
Womack Army Medical Center 2817 Rock Merritt Ave, Fort Liberty, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 907-8116.
NPI number for Miss Jessica Grace Anderson is 1053975987 and her current mailing address is Womack Army Medical Center 2817 Rock Merritt Ave, Fort Liberty, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053975987.
Healthcare Provider's Profile
Full Name | Miss Jessica Grace Anderson |
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Gender | Female |
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Speciality | Nutritionist |
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Location | Womack Army Medical Center 2817 Rock Merritt Ave, Fort Liberty, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053975987
- Provider Enumeration Date: 04/25/2019
- Last Update Date: 11/07/2024
Medical Identifiers
Medical identifiers for Miss Jessica Grace Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053975987 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LD.08619 (Ohio) | Secondary |
133N00000X | Nutritionist | 08619 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Jessica Grace Anderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Jessica Grace Anderson, MS,RD,CSSD,LD,EPC Womack Army Medical Center 2817 Rock Merritt Ave, Fort Liberty, NC 28310-0001 Ph: (910) 907-8116 | Miss Jessica Grace Anderson, MS,RD,CSSD,LD,EPC Womack Army Medical Center 2817 Rock Merritt Ave, Fort Liberty, NC 28310-5438 Ph: (910) 907-8116 |
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