Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jill M Roup, RD, CSO, CD

Individual provider Registered Dietitian · NPI 1336124791

Jill M Roup, RD, CSO, CD is a Registered Dietitian in Green Bay, Wisconsin. Works from 3 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2005
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

1580 Commanche Ave
Green Bay, WI 54313-5751
Phone: (920) 435-8326
Fax: (920) 430-4659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1630 Commanche Ave, Green Bay, WI 54313-5753 — (920) 430-4750
  • 2820 Roosevelt Rd, Marinette, WI 54143-3834 — (715) 735-5225

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 1567 (WI)

Record details

NPI number1336124791
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , CSO , CD
Sole proprietorNo
NPI enumeratedDecember 8, 2005
Last updated in NPPESFebruary 13, 2020
Certification dateFebruary 13, 2020

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