| Mrs Jessica Leigh Stafford, RD | |
| 3412 Daybreak Ln, Saint Charles, MO 63303-1942 | |
| (314) 591-7137 | |
| Not Available | 
| Full Name | Mrs Jessica Leigh Stafford | 
|---|---|
| Gender | Female | 
| Speciality | Dietitian, Registered - Nutrition, Metabolic | 
| Location | 3412 Daybreak Ln, Saint Charles, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780950840 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | 934060 (Missouri) | Primary | 
| Provider Name | Nourish, Inc. | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Jessica Leigh Stafford, RD 3412 Daybreak Ln, Saint Charles, MO 63303-1942 Ph: (314) 591-7137 | Mrs Jessica Leigh Stafford, RD 3412 Daybreak Ln, Saint Charles, MO 63303-1942 Ph: (314) 591-7137 | 
| Rachael King, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 636-947-5156 | |
| Sara Mathews, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 636-669-2271 | |
| Stephanie Minghi, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2806 Sun Lake Dr, Saint Charles, MO 63301 Phone: 314-440-0088 | |
| Kayla Marie Willis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 34 Wren Dr, Saint Charles, MO 63301 Phone: 131-425-5888 | |
| Loni Christine Stewart, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 314-344-7286 | |
| Mattie Kovacs, MS, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 4020 French Oak Ln, Saint Charles, MO 63304 Phone: 618-560-0670 | |
| Kaitlyn Henslee, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 57 Terry Dr, Saint Charles, MO 63303 Phone: 636-627-9824 |