Active NPIIndividual providerSole proprietor

Jacqueline A Justice, MS, CNS

Nutritionist in Stamford, Connecticut

NPI Number1821147604
Practice location
112 Southfield Ave Apt 408, 408, Stamford, CT 06902-7662
Fax
—
Last updated
February 28, 2026

Jacqueline Ann Justice is a Nutritionist based in Stamford, CT. Jacqueline Ann Justice practices in Stamford, CT and has the professional credentials of MS, CNS. The NPI Number for Jacqueline Ann Justice is 1821147604 and holds a License No. 001754 (CT). The current practice location address for Jacqueline Ann Justice is 112 Southfield Ave Apt 408, 408, Stamford, CT 06902-7662 and can be reached out via phone at 914-274-0932.

Provider Profile Details

NPI Number
1821147604
Provider Name
Jacqueline Ann Justice
Credential
MS, CNS
Provider Entity Type
Individual
Gender
Female
Address
112 Southfield Ave Apt 408, 408, Stamford, CT 06902-7662
Phone Number
914-274-0932
Primary Taxonomy
Nutritionist · 133N00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 9, 2007
Last Update Date
February 28, 2026
Certification Date
February 28, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
112 Southfield Ave Apt 408
408
Stamford, CT 06902-7662
Zip
06902-7662
Phone Number
914-274-0932
Stamford, CT 06902Get directions →

Provider Business Mailing Address Details

Address
112 Southfield Ave Apt 408
408
Stamford, CT 06902-7662
City
Stamford
State
CT
Zip
06902-7662
Phone Number
914-274-0932

License Information

License Number (1)
001754
License State (1)
CT
Taxonomy (1)
Nutritionist · 133N00000X
License Number (2)
004970
License State (2)
NY
Taxonomy (2)
Nutritionist · 133N00000X · 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 Jacqueline A Justice, MS, CNS?

The NPI number of Jacqueline A Justice, MS, CNS is 1821147604. It was assigned on January 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Jacqueline A Justice, MS, CNS?

Jacqueline A Justice, MS, CNS is registered under the primary taxonomy Nutritionist (code 133N00000X), licensed in CT under license number 001754.

Where does Jacqueline A Justice, MS, CNS practice?

The practice location is 112 Southfield Ave Apt 408, 408, Stamford, CT 06902-7662. The office can be reached at 914-274-0932 (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 1821147604 directly on the NPPES registry website.

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