Active NPIIndividual provider

Jessica L Dorner, RD

Dietitian, Registered in Southington, Connecticut

NPI Number1073086559
Practice location
360 Queen St Ste B, Southington, CT 06489-1883
Fax
—
Last updated
October 21, 2020

Jessica Leigh Dorner is a Dietitian, Registered based in Southington, CT. Jessica Leigh Dorner practices in Southington, CT and has the professional credentials of RD. The NPI Number for Jessica Leigh Dorner is 1073086559 and holds a License No. 86045011 (CT). The current practice location address for Jessica Leigh Dorner is 360 Queen St Ste B, Southington, CT 06489-1883 and can be reached out via phone at 860-540-6642.

Provider Profile Details

NPI Number
1073086559
Provider Name
Jessica Leigh Dorner
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
360 Queen St Ste B, Southington, CT 06489-1883
Phone Number
860-540-6642
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
January 7, 2019
Last Update Date
October 21, 2020
Certification Date
October 19, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
360 Queen St Ste B
Southington, CT 06489-1883
Zip
06489-1883
Phone Number
860-540-6642
Southington, CT 06489Get directions →

Provider Business Mailing Address Details

Address
1325 Farmington Ave Apt 9
Bristol, CT 06010-4774
City
Bristol
State
CT
Zip
06010-4774

License Information

License Number
86045011
License State
CT
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica L Dorner, RD?

The NPI number of Jessica L Dorner, RD is 1073086559. It was assigned on January 7, 2019 and is currently active in the NPPES registry.

What is the specialty of Jessica L Dorner, RD?

Jessica L Dorner, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 86045011.

Where does Jessica L Dorner, RD practice?

The practice location is 360 Queen St Ste B, Southington, CT 06489-1883. The office can be reached at 860-540-6642 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073086559 directly on the NPPES registry website.

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