Individual provider · Type 1 NPI

Jessica Susan Butler, RDN, LD

Registered Dietitian · Fort Wayne, IN

NPI number 1083577886 Active

Practice location

2121 Lake Ave
Fort Wayne, IN 46805-5100

Call (260) 426-2097 Map

Mailing address

7111 Garman Rd
Auburn, IN 46706-9313

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X37003025A (IN)

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 1083577886

Jessica Susan Butler, RDN, LD's National Provider Identifier is 1083577886, issued on Dec 8, 2025. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 8, 2025.