Doctor Name: | MRS. JESSICA BROWN SPRUILL |
NPI Number: | 1750700795 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDN, LDN |
License Number: | L004262 |
Business Practice Address: | 718 Evans Street Ahoskie, NC - 27910 |
Business Phone Number: | 2528624217 |
Business Fax Number: | 2523324494 |
Mailing Address: | P.o. Box 246 801 North King St, WINTON |
State: | NC |
Postal Code: | 27986 |
Phone Number: | 2523587833 |
Fax Number: | 2523587869 |
NPI Enumeration Date: | 04/07/2014 |
NPI Last Update Date: | 04/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | L004262 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |