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Jacqueline Mary Sullivan
Registered Dietitian in Elkhorn, Wisconsin
NPI 1740511104

Jacqueline Mary Sullivan is a Registered Dietitian based in Madison, WI. Jacqueline Mary Sullivan practices in Elkhorn, WI. The NPI Number for Jacqueline Mary Sullivan is 1740511104 and holds a License No. 685422 (Wisconsin).

The current practice location address for Jacqueline Mary Sullivan is W3985 County Road Nn, Elkhorn, WI and can be reached out via phone at 262-741-2145 and via fax at 262-741-2559.

Location: W3985 County Road Nn, Elkhorn, WI, 53792-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740511104
Provider Name
Jacqueline Mary Sullivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
W3985 County Road Nn, Elkhorn, WI, 53792-0001
Phone Number
262-741-2145
Fax Number
262-741-2559
Provider Enumeration Date
01/26/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1508-029 01 WI CERTIFIED DIETITIAN
institution
Provider Business Practice Location Address Details
Address
W3985 County Road Nn
City
Elkhorn
State
Wisconsin
Zip
53121-4337
Phone Number
262-741-2145
Fax Number
262-741-2559
person
Provider Business Mailing Address Details
Address
W3985 County Road Nn
City
Elkhorn
State
Wisconsin
Zip
53121-4337
Phone Number
262-741-2145
Fax Number
262-741-2559
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
685422 ()
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
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