JILL MARIE CLARK MS RD LD NPI 1134834450

NPI Information

  • NPI: 1134834450
  • Provider Name: JILL MARIE CLARK, MS, RD, LD
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Individual
  • Address: 6500 HOSPITAL DR
    HANNIBAL, MO
    ZIP 63401
  • Phone: (573) 406-5952

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NPI Details

Jill Marie Clark, MS, RD, LD is a dietitian registered in Hannibal, MO. The provider is 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 provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. Jill Marie Clark, MS, RD, LD NPI is 1134834450. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6500 HOSPITAL DR
HANNIBAL, MO
ZIP 63401-890
Phone: (573) 406-5952

The enumeration date for this NPI number is 1/20/2023 and was last updated on 3/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, Registered2021046266MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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