Individual provider · Type 1 NPI

Jessica Divis, RD

Registered Dietitian · Phoenix, AZ

NPI number 1386222396 Active

Practice location

1920 E Cambridge Ave Ste 201
Phoenix, AZ 85006-1462

Call (602) 933-0935 Map

Fax (602) 933-2471

Mailing address

2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X86094146 (AZ)

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 1386222396

Jessica Divis, RD's National Provider Identifier is 1386222396, issued on Mar 31, 2021. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 3, 2026.