Doctor Name: | LESLIE BERRYHILL |
NPI Number: | 1144627084 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,RD,LD |
License Number: | D1481 |
Business Practice Address: | 2500 N State St Jackson, MS - 392164500 |
Business Phone Number: | 6019841929 |
Business Fax Number: | 6019841916 |
Mailing Address: | 2500 N State St, JACKSON |
State: | MS |
Postal Code: | 392164500 |
Phone Number: | 6019841929 |
Fax Number: | 6019841916 |
NPI Enumeration Date: | 11/20/2014 |
NPI Last Update Date: | 11/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | D1481 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |