Ande M Jackson in Greenville - Nutrition, Education

Ande M Jackson - NPI 1831212638

Ande M Jackson is a Nutrition, Education in Greenville, South Carolina. Ande M Jackson practices all healthcare services and medical treatments related to Nutrition, Education. The NPI Number for Ande M Jackson is 1831212638. The last update date is 2007-07-08.

Ande M Jackson's current location address is 219 Lake Circle Dr, Greenville, South Carolina. You can contact this provider via phone number 8648490279. The mailing address for Ande M Jackson is 219 Lake Circle Dr, Greenville, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Ande M Jackson
Address 219 Lake Circle Dr, Greenville, South Carolina
Phone Number 8648490279
Fax Number
Sole Proprietor Y
Credentials MS,CNC

NPI Number Detail

NPI Number 1831212638
Provider Enumeration Date 2007-04-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 219 Lake Circle Dr
City Greenville
State South Carolina (SC)
Post Code 296096623
Phone Number 8648490279
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nutrition, Education
Taxonomy 133Nn1002X
Definition:
A nutritionist who educates people about nutrition and healthy eating.

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FAQs about Ande M Jackson

What is the unique 10-digit identifier code assigned to Ande M Jackson by the Centers for Medicare & Medicaid Services?

The Ande M Jackson has been issued the NPI (National Provider Identifier) 1831212638 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Ande M Jackson?

The Ande M Jackson is situated at 219 Lake Circle Dr, in the city of Greenville, state of SC, with the zip code 296096623.

What is Ande M Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Ande M Jackson's area of specialization is Nutrition, Education, and the corresponding taxonomy code that categorizes this field of practice is 133Nn1002X.

When was the Ande M Jackson's 1831212638 issued?

The Ande M Jackson's 1831212638 was issued on 2007-04-08.

As of what date were the details related to Ande M Jackson most recently updated or revised?

The information pertaining to Ande M Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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