Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacklyn Grace Jensen, RD

Individual provider Registered Dietitian · NPI 1932862091

Jacklyn Grace Jensen, RD is a Registered Dietitian OR Nutrition Professional in Bellevue, Washington. Qualified in 2021, 5 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Idaho and Washington.

Years since qualifying
5
Licensed in
ID, WA
In the registry since
2021
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

14604 NE 42nd Pl Apt N405
Bellevue, WA 98007-3135
Phone: (435) 731-4079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 — (208) 625-4000

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DI61202063 (WA)
Registered Dietitian Taxonomy 133V00000X · Licence D-1292 (ID)

Record details

NPI number1932862091
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedOctober 15, 2021
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022
Mailing address14604 Ne 42nd Pl Apt N405, Bellevue, WA 98007-3135

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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