Jacqueline Elizabeth Shanks in Cordova - Dietitian, Registered

Jacqueline Elizabeth Shanks - NPI 1134138977

Jacqueline Elizabeth Shanks is a Dietitian, Registered in Cordova, Tennessee. Jacqueline Elizabeth Shanks practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Jacqueline Elizabeth Shanks is 1134138977. The last update date is 2007-07-08.

Jacqueline Elizabeth Shanks's current location address is 2552 Niblik Pass Apt 202, Cordova, Tennessee. You can contact this provider via phone number 9015238990. The mailing address for Jacqueline Elizabeth Shanks is 2552 Niblik Pass Apt 202, Cordova, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacqueline Elizabeth Shanks
Address 2552 Niblik Pass Apt 202, Cordova, Tennessee
Phone Number 9015238990
Fax Number
Sole Proprietor N
Credentials RD

NPI Number Detail

NPI Number 1134138977
Provider Enumeration Date 2006-08-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2552 Niblik Pass Apt 202
City Cordova
State Tennessee (TN)
Post Code 380164116
Phone Number 9015238990
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 1701
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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FAQs about Jacqueline Elizabeth Shanks

What is the unique 10-digit identifier code issued to Jacqueline Elizabeth Shanks by the Centers for Medicare & Medicaid Services?

The Jacqueline Elizabeth Shanks has been assigned the NPI (National Provider Identifier) 1134138977 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Jacqueline Elizabeth Shanks is located?

The Jacqueline Elizabeth Shanks is situated at the following address: 2552 Niblik Pass Apt 202, Cordova, TN, 380164116.

What is the Jacqueline Elizabeth Shanks's specialty and taxonomy code?

The Jacqueline Elizabeth Shanks's specialty is Dietitian, Registered, and the corresponding taxonomy code is 133V00000X.

On what date did the Jacqueline Elizabeth Shanks receive the assignment of its 1134138977 from the Centers for Medicare & Medicaid Services?

The Jacqueline Elizabeth Shanks was issued its 1134138977 by the Centers for Medicare & Medicaid Services on 2006-08-07.

When was the information regarding Jacqueline Elizabeth Shanks most recently updated?

The details pertaining to the Jacqueline Elizabeth Shanks, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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