| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JESSIE BALDWIN HOFFMAN | 1063048353 | 2020-03-18 |
Jessie Baldwin Hoffman is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1063048353. Registration indicates Jessie Baldwin Hoffman is a provider of services with a specialization in Dietary & Nutritional Service Providers, Dietitian, Registered (Dietitian, Registered, ) (All Other Specialties & Provider Types, ) (Dietitian, Registered, Dietary & Nutritional Service Providers) (Dietary & Nutritional Service Providers, Dietitian, Registered) (Dietitian, Registered, ) (All Other Specialties & Provider Types, ) (Dietitian, Registered, Dietary & Nutritional Service Providers)
| Entity Type | Individual |
| Provider Name | Jessie Baldwin Hoffman PHD, RD |
| Practice Office Address | 3111 COOL BRIDGE CIR APT 411 FORT MILL, SC US |
| Practice Office Telephone | 8036693978 |
| Mailing Address | 3111 COOL BRIDGE CIR APT 411 FORT MILL, SC 297158513 US |
| Business Telephone | 8036693978 |
| Code | Practice | License No State |
|---|---|---|
| 133V00000X | Dietary & Nutritional Service Providers Dietitian, Registered Dietitian, Registered All Other Specialties & Provider Types Dietitian, Registered Dietary & Nutritional Service Providers | L007656
NC |
| 133V00000X PRIMARY | Dietary & Nutritional Service Providers Dietitian, Registered Dietitian, Registered All Other Specialties & Provider Types Dietitian, Registered Dietary & Nutritional Service Providers | LRD.2161.RD
SC |