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NPI 1821147604

IndividualActive

Jacqueline Justice, M.S., C.N.S.

NPI 1821147604 · Nutritionist · Stamford, CT

Provider details

NPI number: 1821147604
Entity type: Individual
Primary specialty: NutritionistDietary & Nutritional Service Providers
Credential: M.S., C.N.S.
Sex: Female
Sole proprietor: Yes
License: 001754 (CT)

Practice location

112 Southfield Ave Apt 408

408

Stamford, CT 06902-7662

Phone: (914) 274-0932

More CT providers

Mailing address

112 Southfield Ave Apt 408

Stamford, CT 06902-7662

Registry dates

Enumerated: 2007-01-09
Last updated: 2026-02-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jacqueline Justice, M.S., C.N.S. — NPI 1821147604, Stamford, CT | NPI Central