Doctor Name: | MRS. JESSICA LATOYA MCALLISTER |
NPI Number: | 1740463181 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, LD |
License Number: | 37002119A |
Business Practice Address: | 133 N 4th St Suite 608 Lafayette, IN - 479011371 |
Business Phone Number: | 4143645376 |
Business Fax Number: | |
Mailing Address: | 1481 W 10th St, INDIANAPOLIS |
State: | IN |
Postal Code: | 462022803 |
Phone Number: | 3179889647 |
Fax Number: | |
NPI Enumeration Date: | 12/07/2007 |
NPI Last Update Date: | 03/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 37002119A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |