Doctor Name: | CHARLOTTE BELL JACKSON |
NPI Number: | 1003143777 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPH, RD, LDN |
License Number: | L002494 |
Business Practice Address: | 911 South Hughes Street Apex, NC - 275027731 |
Business Phone Number: | 9193636057 |
Business Fax Number: | 9193636014 |
Mailing Address: | 2627 Creek Trail, SANFORD |
State: | NC |
Postal Code: | 273306333 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/17/2009 |
NPI Last Update Date: | 11/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | L002494 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |