IndividualActive
Jessica Doorn, RD
NPI 1407487424 · Pediatric Nutrition Registered Dietitian · Grand Rapids, MI
Provider details
- NPI number
- 1407487424
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Phone: (616) 391-6814
Fax: (616) 391-3892
Approximate (ZIP-level) locationGet directions
Mailing address
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2020-01-29
- Last updated
- 2020-01-29
- Certified
- 2020-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.