| Doctor Name: | MISS JACQUELINE BALLOU |
| NPI Number: | 1336382035 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RD, LDN |
| License Number: | 2866 |
| Business Practice Address: | One Autumn Street Room 455 Childrens Hospital Boston Boston, MA - 02115 |
| Business Phone Number: | 6173556097 |
| Business Fax Number: | 6177300183 |
| Mailing Address: | One Autumn Street Room 455, Childrens Hospital Boston, BOSTON |
| State: | MA |
| Postal Code: | 02115 |
| Phone Number: | 6173556097 |
| Fax Number: | 6177300183 |
| NPI Enumeration Date: | 04/09/2009 |
| NPI Last Update Date: | 08/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 2866 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| 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 |