Doctor Name: | MISS NICHELLE ANTOINETTE JOHNSON |
NPI Number: | 1487734299 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D, L.D. |
License Number: | ND 3309 |
Business Practice Address: | 1 Jarrett White Rd Tripler Army Medical Center Attn: Mchk-qs Tamc, HI - 968595001 |
Business Phone Number: | 8084332460 |
Business Fax Number: | 8084331558 |
Mailing Address: | 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs TAMC |
State: | HI |
Postal Code: | 968595001 |
Phone Number: | 8084332460 |
Fax Number: | 8084331558 |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND 3309 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |