Individual provider · Type 1 NPI
Jessica Crosby Waller, MSCN
Nutrition Education Nutritionist · Tyler, TX
NPI number
1528839073
Active
Practice location
2329 Oak Aly
Tyler, TX 75703-5875
Mailing address
8515 Radcliffe Dr
Tyler, TX 75703-5218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Education Nutritionist Primary | 133NN1002X | None listed |
Nutrition Education Nutritionist: Definition to come...
About NPI 1528839073
Jessica Crosby Waller, MSCN's National Provider Identifier is 1528839073, issued on Jan 12, 2024. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Tyler, TX. The record was last updated on Jan 12, 2024.