Mrs Joanna Leigh Cupp, MS, RD, LDN in State University, AR

Mrs Joanna Leigh Cupp, MS, RD, LDN - Dietitian in State University, AR

Mrs Joanna Leigh Cupp, MS, RD, LDN is a Dietitian, Registered based in State University, Arkansas. Mrs Joanna Leigh Cupp is licensed to practice in Illinois (license number 164.005327) and her current practice location is 106 North Caraway, Eugene Smith Room 410, State University, Arkansas. She can be reached at her office (for appointments etc.) via phone at (870) 680-8295.

NPI number for Mrs Joanna Leigh Cupp is 1356612436 and her current mailing address is 106 North Caraway, Eugene Smith Room 410, State University, Arkansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356612436.

Contact Information

	Mrs Joanna Leigh Cupp, MS, RD, LDN
	106 North Caraway, Eugene Smith Room 410, State University, AR 72467-7246
	(870) 680-8295
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Joanna Leigh Cupp
Gender	Female
Speciality	Dietitian, Registered
Location	106 North Caraway, State University, Arkansas
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1356612436
Provider Enumeration Date: 01/20/2012
Last Update Date: 09/09/2020

Medical Identifiers

Medical identifiers for Mrs Joanna Leigh Cupp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356612436	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	164.005327 (Illinois)	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. Mrs Joanna Leigh Cupp 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
Mrs Joanna Leigh Cupp, MS, RD, LDN 106 North Caraway, Eugene Smith Room 410, State University, AR 72467 Ph: (870) 680-8295	Mrs Joanna Leigh Cupp, MS, RD, LDN 106 North Caraway, Eugene Smith Room 410, State University, AR 72467-7246 Ph: (870) 680-8295