Doctor Name: | JESSICA LOUISE PERRY |
NPI Number: | 1104053578 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD/LDN |
License Number: | L003321 |
Business Practice Address: | 250 Smith Church Rd Roanoke Rapids, NC - 278704914 |
Business Phone Number: | 2525358035 |
Business Fax Number: | 2525358481 |
Mailing Address: | 250 Smith Church Rd, ROANOKE RAPIDS |
State: | NC |
Postal Code: | 278704914 |
Phone Number: | 2525358035 |
Fax Number: | 2525358481 |
NPI Enumeration Date: | 06/12/2009 |
NPI Last Update Date: | 06/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | L003321 |
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 |