Mary Ellen Jackson in Winchester - Dietitian, Registered
Mary Ellen Jackson - NPI 1477760205
Mary Ellen Jackson is a Dietitian, Registered in Winchester, Indiana. Mary Ellen Jackson practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Mary Ellen Jackson is 1477760205. The last update date is 2007-07-08.
Mary Ellen Jackson's current location address is 473 E Greenville Ave, Winchester, Indiana. You can contact this provider via phone number 7655840207 and fax number 7655840593. The mailing address for Mary Ellen Jackson is 473 E Greenville Ave, Winchester, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ellen Jackson |
|---|---|
| Address | 473 E Greenville Ave, Winchester, Indiana |
| Phone Number | 7655840207 |
| Fax Number | 7655840593 |
| Sole Proprietor | N |
| Credentials | R.D. |
NPI Number Detail
| NPI Number | 1477760205 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 473 E Greenville Ave |
|---|---|
| City | Winchester |
| State | Indiana (IN) |
| Post Code | 473949436 |
| Phone Number | 7655840207 |
| Fax Number | 7655840593 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 37001130A |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mary Ellen Jackson by the Centers for Medicare & Medicaid Services?
The Mary Ellen Jackson has been issued the NPI (National Provider Identifier) 1477760205 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Mary Ellen Jackson is located?
The Mary Ellen Jackson is situated at the following address: 473 E Greenville Ave, Winchester, IN, 473949436.
What is Mary Ellen Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Ellen Jackson is Dietitian, Registered, and the taxonomy code that classifies this field of practice is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477760205 to Mary Ellen Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1477760205 to Mary Ellen Jackson on 2007-05-17.
As of what date was the information regarding Mary Ellen Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary Ellen Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.