IndividualActive
Jessica Thornton, RDN, CSP, CLC, LDN
NPI 1760099956 · Pediatric Nutrition Registered Dietitian · Avon, IN
Provider details
- NPI number
- 1760099956
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN, CSP, CLC, LDN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 37001291A (IN)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Practice location
5919 Pine Bluff Dr
Avon, IN 46123-6681
Phone: (317) 508-2066
Approximate (ZIP-level) locationGet directions
Mailing address
5919 Pine Bluff Dr
Avon, IN 46123-6681
Registry dates
- Enumerated
- 2020-09-30
- Last updated
- 2020-09-30
- Certified
- 2020-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.