Individual provider · Type 1 NPI
Jacquelyn Carole Russum, RDN
Registered Dietitian · Oakland, CA
Practice location
3600 Telegraph Ave
Oakland, CA 94609-2427
Mailing address
330 1st St
San Rafael, CA 94901-3716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian Primary | 133V00000X | 600544 (CA) |
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…
2 other providers at this address
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About NPI 1710864657
Jacquelyn Carole Russum, RDN's National Provider Identifier is 1710864657, issued on Aug 20, 2025. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Oakland, CA. The record was last updated on Aug 20, 2025.