IndividualActive
Jessica Prohn, MS, RD, CSR, LDN
NPI 1225666019 · Renal Nutrition Registered Dietitian · North Grafton, MA
Provider details
- NPI number
- 1225666019
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, CSR, LDN
- Sex
- Female
- Sole proprietor
- No
- License
- 2870 (MA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
35 Hingham Rd
North Grafton, MA 01536-1281
Phone: (508) 685-0624
Approximate (ZIP-level) locationGet directions
Mailing address
35 Hingham Rd
North Grafton, MA 01536-1281
Registry dates
- Enumerated
- 2020-03-29
- Last updated
- 2020-03-29
- Certified
- 2020-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.