Individual provider · Type 1 NPI

Jacqueline Marie Wyman, MS, RD, LD

Registered Dietitian · Phoenix, AZ

NPI number 1073073045 Active

Practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Call (602) 933-0940 Map

Mailing address

2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-7761

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X86066765 (AZ)
Registered Dietitian 133V00000XLD.08638 (OH)

Registered Dietitian: 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…

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About NPI 1073073045

Jacqueline Marie Wyman, MS, RD, LD's National Provider Identifier is 1073073045, issued on Mar 25, 2019. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 22, 2022.