JESSICA MARIE JURCAK MS, MPH, RD LD
NPI 1467929125
Dietitian, Registered in Lakewood, OH

Active since October 30, 2018
17317 MADISON AVE APT 21, LAKEWOOD, OH 44107(440) 865-1266 Get Directions Write a Review

NPPES record last updated: December 6, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 6, 2018, Oct 30, 2018 (2 updates tracked since 2018).

About Jessica Marie Jurcak Ms, Mph, Rd Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA MARIE JURCAK MS, MPH, RD LD (NPI 1467929125) is an individual dietitian, registered provider in Lakewood, Ohio, licensed in Ohio (LD.08277) and active in the NPI registry since October 2018.Information from the official NPPES registry record, last updated December 6, 2018.

NPPES Registry Identity

NPI1467929125
Entity TypeIndividualFemale
Provider Legal NameJESSICA MARIE JURCAKCredential: MS, MPH, RD LD
Location Address17317 MADISON AVE APT 21Lakewood, OH 44107-3565
Mailing Address17317 Madison Ave Apt 21Lakewood, OH 44107-3565
Sole ProprietorNo
Enumeration DateOctober 30, 2018
Last NPPES UpdateDecember 6, 20182 updates tracked since enumeration
NPI 1467929125 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Dietitian, Registered

Taxonomy 133V00000X · Dietary & Nutritional Service Providers

Licensed in OH · LD.08277

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and… Show more

17317 MADISON AVE APT 21, Lakewood, OH 44107

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467929125, enumerated as an "individual" on October 30, 2018.

The provider is located at 17317 MADISON AVE APT 21 LAKEWOOD, OH 44107 and the phone number is (440) 865-1266.

Dietitian, Registered with taxonomy code 133V00000X.