Doctor Name: | BROOKE L JACOB |
NPI Number: | 1528332871 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 0000379 |
Business Practice Address: | 4735 Ogletown Stanton Road Suite 3201 Newark, DE - 19713 |
Business Phone Number: | 3026234323 |
Business Fax Number: | 3026234315 |
Mailing Address: | P.o. Box 30170, WILMINGTON |
State: | DE |
Postal Code: | 198057170 |
Phone Number: | 3026237113 |
Fax Number: | 3026237374 |
NPI Enumeration Date: | 03/05/2012 |
NPI Last Update Date: | 04/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 0000379 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
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 |