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Contact Information

JACQUELYN J NIELSEN, MS, RD, CDE
1101 OAKRIDGE DRIVE
SUITE B
FORT COLLINS, CO80525
 Phone: 970-622-9997
 Fax: 970-667-8383
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for JACQUELYN J NIELSEN · (Female)

NPI Number 1770569667
Status Active
Credentials MS, RD, CDE
Entity Individual
Enumeration date 12/21/2005
Last updated 11/23/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 708546
  • CO Other P00241054 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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