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Jennifer Nickell is one of 300 dietitians and nutrition professionals practicing in Austin, Texas .
Jennifer Nickell practices with Nourish, Inc.
Registry record (NPPES)
NPI
1164832713
Type
Type 1 · Individual
Primary taxonomy
Dietitian, Registered, Nutrition, Pediatric · 133VN1004X
Address on file
4948 SW Meadow Ave Lake Oswego, OR 97035-2216 (503) 744-2061
Enumerated
May 5, 2014
Record last updated
Jan 18, 2024
License states listed
OR
Medicare (CMS)
Enrollment
Medicare-enrolled in TXRegistered Dietitian or Nutrition Professional
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
3724 Jefferson St Suite 104
Austin , TX 78731
(512) 693-7045
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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