Provider Demographics
NPI:1598532590
Name:ABELL, JESSICA J (RDN)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:J
Last Name:ABELL
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9313 TRENTHAM LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40242-3385
Mailing Address - Country:US
Mailing Address - Phone:502-387-2243
Mailing Address - Fax:
Practice Address - Street 1:812 LYNDON LN STE 101
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-3844
Practice Address - Country:US
Practice Address - Phone:502-387-2243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered