Doctor Name: | HAILEY ARCHER |
NPI Number: | 1164815064 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 2582 |
Business Practice Address: | 720 W. Forest Ave. Jackson, TN - 38301 |
Business Phone Number: | 7315415087 |
Business Fax Number: | 7316608739 |
Mailing Address: | 1804 Highway 45 Byp, Suite 604 JACKSON |
State: | TN |
Postal Code: | 383054436 |
Phone Number: | 7316607971 |
Fax Number: | 7316608739 |
NPI Enumeration Date: | 03/17/2015 |
NPI Last Update Date: | 03/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2582 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |