Mrs Jessica Leigh Stafford, RD | |
3412 Daybreak Ln, Saint Charles, MO 63303-1942 | |
(314) 591-7137 | |
Not Available |
Full Name | Mrs Jessica Leigh Stafford |
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Gender | Female |
Speciality | Dietitian, Registered - Nutrition, Metabolic |
Location | 3412 Daybreak Ln, Saint Charles, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1780950840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133VN1006X | Dietitian, Registered - Nutrition, Metabolic | 934060 (Missouri) | Primary |
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
Mailing Address | Practice Location Address |
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Mrs Jessica Leigh Stafford, RD 3412 Daybreak Ln, Saint Charles, MO 63303-1942 Ph: (314) 591-7137 | Mrs Jessica Leigh Stafford, RD 3412 Daybreak Ln, Saint Charles, MO 63303-1942 Ph: (314) 591-7137 |
Rachael King, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 636-947-5156 | |
Sara Mathews, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 636-669-2271 | |
Stephanie Minghi, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2806 Sun Lake Dr, Saint Charles, MO 63301 Phone: 314-440-0088 | |
Kayla Marie Willis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 34 Wren Dr, Saint Charles, MO 63301 Phone: 131-425-5888 | |
Loni Christine Stewart, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 314-344-7286 | |
Mattie Kovacs, MS, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 4020 French Oak Ln, Saint Charles, MO 63304 Phone: 618-560-0670 | |
Madeline Margaret Litschgi, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 636-947-5156 |