Tracie Lee Jackson in Herman - Dietitian, Registered
Tracie Lee Jackson - NPI 1982807715
Tracie Lee Jackson is a Dietitian, Registered in Herman, Nebraska. Tracie Lee Jackson practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Tracie Lee Jackson is 1982807715. The last update date is 2007-07-08.
Tracie Lee Jackson's current location address is Po Box 127, Herman, Nebraska. You can contact this provider via phone number 4024567876. The mailing address for Tracie Lee Jackson is Po Box 127, Herman, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracie Lee Jackson |
|---|---|
| Address | Po Box 127, Herman, Nebraska |
| Phone Number | 4024567876 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RD, LMNT, |
NPI Number Detail
| NPI Number | 1982807715 |
|---|---|
| Provider Enumeration Date | 2007-06-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 127 |
|---|---|
| City | Herman |
| State | Nebraska (NE) |
| Post Code | 680290127 |
| Phone Number | 4024567876 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 347 |
|
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 |
|---|---|---|---|
| 347 | NE | RD LMNT CDE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Tracie Lee Jackson by the Centers for Medicare & Medicaid Services?
The Tracie Lee Jackson has been issued the NPI (National Provider Identifier) 1982807715, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Tracie Lee Jackson's physical address?
The Tracie Lee Jackson is physically located at Po Box 127, in the city of Herman, NE, with the postal code 680290127.
What is the area of specialization for Tracie Lee Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tracie Lee Jackson is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of expertise is 133V00000X.
When was the Tracie Lee Jackson's 1982807715 issued?
The Tracie Lee Jackson's 1982807715 was issued on 2007-06-08.
When was the Tracie Lee Jackson's information last updated?
The Tracie Lee Jackson's information was last updated on 2007-07-08.
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