| Doctor Name: | MRS. NIKKI JACKSON DRUMMOND |
| NPI Number: | 1093072043 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCN |
| License Number: | 4018 |
| Business Practice Address: | 3939 Bee Cave Rd Suite B-3 West Lake Hills, TX - 787466431 |
| Business Phone Number: | 5126998764 |
| Business Fax Number: | |
| Mailing Address: | 3939 Bee Cave Rd, Suite B-3 WEST LAKE HILLS |
| State: | TX |
| Postal Code: | 787466431 |
| Phone Number: | 5126998764 |
| Fax Number: | |
| NPI Enumeration Date: | 04/16/2012 |
| NPI Last Update Date: | 04/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | 4018 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |