Doctor Name: | JESSICA HELEN THACKRAY |
NPI Number: | 1477677250 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | L002856 |
Business Practice Address: | 2359 Hy 105 Cdsa Of The Blue Ridge Boone, NC - 28607 |
Business Phone Number: | 8282565391 |
Business Fax Number: | 8282655394 |
Mailing Address: | 265 Watauga Dr, BOONE |
State: | NC |
Postal Code: | 286073853 |
Phone Number: | 8287731069 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 12/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | L002856 |
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 |