Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Wivinus, MS, RD, LDN

Individual provider Registered Dietitian · NPI 1376248658

Jacqueline Wivinus, MS, RD, LDN is a Registered Dietitian in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

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Practice location Address checks out

1 Veterans Dr
Minneapolis, MN 55417-2309
Phone: (763) 370-1487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 3777 (MN)

Record details

NPI number1376248658
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , LDN
Sole proprietorNo
NPI enumeratedApril 4, 2023
Last updated in NPPESApril 4, 2023
Certification dateApril 4, 2023

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