Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Kozlosky, MSRDN

Individual provider Registered Dietitian · NPI 1710603683

Jessica Kozlosky, MSRDN is a Registered Dietitian OR Nutrition Professional in Wilkes Barre, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Geisinger Clinic, a 3,413-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

675 Baltimore Dr
Wilkes Barre, PA 18702-7900
Phone: (800) 275-6401
Fax: (570) 808-6356
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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 DN007930 (PA)
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1710603683
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSRDN
Sole proprietorNo
NPI enumeratedOctober 12, 2022
Last updated in NPPESDecember 21, 2022
Certification dateDecember 21, 2022

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wilkes Barre