| Doctor Name: | NICOLE HANCOCK |
| NPI Number: | 1548682339 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD |
| License Number: | 2460 |
| Business Practice Address: | 101 Jackson Walk Plz Jackson, TN - 383013008 |
| Business Phone Number: | 7314256927 |
| Business Fax Number: | 7316608739 |
| Mailing Address: | 1804 Highway 45 Byp, Suite 604 JACKSON |
| State: | TN |
| Postal Code: | 383054436 |
| Phone Number: | 7315121273 |
| Fax Number: | 7316608739 |
| NPI Enumeration Date: | 01/13/2014 |
| NPI Last Update Date: | 01/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 2460 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| 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 |