Diane L Jackson in Everett - Dietitian, Registered

Diane L Jackson - NPI 1891866034

Diane L Jackson is a Dietitian, Registered in Everett, Washington. Diane L Jackson practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Diane L Jackson is 1891866034. The last update date is 2014-07-16.

Diane L Jackson's current location address is 3901 Hoyt Ave, Everett, Washington. You can contact this provider via phone number 4252590966. The mailing address for Diane L Jackson is 3901 Hoyt Ave, Everett, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Diane L Jackson
Address 3901 Hoyt Ave, Everett, Washington
Phone Number 4252590966
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1891866034
Provider Enumeration Date 2006-11-10
Last Updated Date 2014-07-16

Provider Mailing Address Detail

Address 3901 Hoyt Ave
City Everett
State Washington (WA)
Post Code 982014918
Phone Number 4252590966
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No DI00001044
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DI00001044 WA LICENSE

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FAQs about Diane L Jackson

What is the unique identification code assigned to Diane L Jackson by the Centers for Medicare & Medicaid Services?

The Diane L Jackson has been issued the NPI (National Provider Identifier) 1891866034. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Diane L Jackson's facilities are situated?

The facilities of Diane L Jackson are physically located at the following address: 3901 Hoyt Ave, Everett, WA, 982014918.

What is Diane L Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Diane L Jackson is Dietitian, Registered, and the corresponding taxonomy classification code for this specialized field is 133V00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1891866034 to Diane L Jackson?

The Centers for Medicare & Medicaid Services assigned the 1891866034 to Diane L Jackson on 2006-11-10.

When was the Diane L Jackson's information last updated?

The Diane L Jackson's information was last updated on 2014-07-16.

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