Doctor Name: | MRS. GILDA JACKSON |
NPI Number: | 1255304226 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,RD |
License Number: | DT06435 |
Business Practice Address: | 77 Pinetree Ln Willingboro, NJ - 080462647 |
Business Phone Number: | 6098712909 |
Business Fax Number: | 6098775458 |
Mailing Address: | 77 Pinetree Ln, WILLINGBORO |
State: | NJ |
Postal Code: | 080462647 |
Phone Number: | 6098712909 |
Fax Number: | 6098775458 |
NPI Enumeration Date: | 02/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT06435 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |