Jacklyn Grace Jensen, RD

Registered Dietitian · Bellevue, WA

Individual Active NPI

NPI number 1932862091

Practice location

14604 NE 42ND Pl Apt N405
Bellevue, WA 98007-3135
Phone
(435) 731-4079

Open in Google Maps

NPI record

NPI
1932862091
Entity type
Individual (Type 1)
Enumeration date
October 15, 2021
Last updated
October 13, 2022
Certified
October 13, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X DI61202063 WA
Registered Dietitian 133V00000X D-1292 ID

Other practice locations (1)

  • 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 · (208) 625-4000

About Jacklyn Jensen

Jacklyn Grace Jensen, RD is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 14604 NE 42ND Pl Apt N405, Bellevue, WA 98007-3135. The NPI number 1932862091 was assigned on October 15, 2021 and the record was last updated on October 13, 2022.

Jacklyn Jensen lists 2 licenses in the registry: #DI61202063 (WA) for Registered Dietitian; #D-1292 (ID) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacklyn Grace Jensen, RD?

The NPI number is 1932862091.

What is the phone number of Jacklyn Jensen?

The phone number listed for the practice location is (435) 731-4079.

Where is Jacklyn Jensen located?

14604 NE 42ND Pl Apt N405, Bellevue, WA 98007-3135.

What is the taxonomy code for Jacklyn Jensen?

The primary taxonomy code is 133V00000X – Registered Dietitian; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Registered Dietitian providers in Bellevue

All Registered Dietitian providers in Bellevue, WA →