Active NPIIndividual provider

Jillian M Clark, RD, LDN

Dietitian, Registered in Bedford, Massachusetts

NPI Number1285974576
Practice location
200 Springs RD, Food Service 185, Bedford, MA 01730-1114
Fax
—
Last updated
February 22, 2013

Jillian M Clark is a Dietitian, Registered based in Bedford, MA. Jillian M Clark practices in Bedford, MA and has the professional credentials of RD, LDN. The NPI Number for Jillian M Clark is 1285974576 and holds a License No. 3450 (MA). The current practice location address for Jillian M Clark is 200 Springs RD, Food Service 185, Bedford, MA 01730-1114 and can be reached out via phone at 781-687-2000.

Provider Profile Details

NPI Number
1285974576
Provider Name
Jillian M Clark
Credential
RD, LDN
Provider Entity Type
Individual
Gender
Female
Address
200 Springs RD, Food Service 185, Bedford, MA 01730-1114
Phone Number
781-687-2000
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
February 22, 2013
Last Update Date
February 22, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Springs RD
Food Service 185
Bedford, MA 01730-1114
Zip
01730-1114
Phone Number
781-687-2000
Bedford, MA 01730Get directions →

Provider Business Mailing Address Details

Address
200 Springs RD
Food Service 185
Bedford, MA 01730-1114
City
Bedford
State
MA
Zip
01730-1114
Phone Number
781-687-2000

License Information

License Number
3450
License State
MA
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 Jillian M Clark, RD, LDN?

The NPI number of Jillian M Clark, RD, LDN is 1285974576. It was assigned on February 22, 2013 and is currently active in the NPPES registry.

What is the specialty of Jillian M Clark, RD, LDN?

Jillian M Clark, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 3450.

Where does Jillian M Clark, RD, LDN practice?

The practice location is 200 Springs RD, Food Service 185, Bedford, MA 01730-1114. The office can be reached at 781-687-2000 (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 1285974576 directly on the NPPES registry website.

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