Individual provider · Type 1 NPI

Annicia Patrice Pettus, MS, RD, LD

Registered Dietitian · Benton, AR

NPI number 1073301495 Active

Practice location

3011 Sue St
Benton, AR 72015-2747

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X2777 (AR)

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 1073301495

Annicia Patrice Pettus, MS, RD, LD's National Provider Identifier is 1073301495, issued on Apr 26, 2025. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Benton, AR. The record was last updated on Apr 26, 2025.