Doctor Name: | SHENEDA L JACKSON |
NPI Number: | 1629211958 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 1730 |
Business Practice Address: | 111 N Causeway Blvd Metairie, LA - 700015450 |
Business Phone Number: | 5048385100 |
Business Fax Number: | 5048385104 |
Mailing Address: | 21 Dauterive Ct, KENNER |
State: | LA |
Postal Code: | 700652478 |
Phone Number: | 5044731106 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2009 |
NPI Last Update Date: | 07/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1730 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |