Provider Demographics
NPI:1992385470
Name:TORRES, JESSICA (RD)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:ORTIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3210 SE CORPORATE WOODS DRIVE
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-1470
Mailing Address - Country:US
Mailing Address - Phone:866-716-3257
Mailing Address - Fax:515-266-6120
Practice Address - Street 1:3210 SE CORPORATE WOODS DRIVE
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-1470
Practice Address - Country:US
Practice Address - Phone:866-716-3257
Practice Address - Fax:515-266-6120
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered