Doctor Name: | JACQUELYN NICOLE BOVE |
NPI Number: | 1831405125 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD |
License Number: | 003581 |
Business Practice Address: | 821 N Cobb St Milledgeville, GA - 310612343 |
Business Phone Number: | 4784572300 |
Business Fax Number: | 4784543934 |
Mailing Address: | 821 N Cobb St, Education Dept MILLEDGEVILLE |
State: | GA |
Postal Code: | 310612343 |
Phone Number: | 4784572300 |
Fax Number: | 4784543934 |
NPI Enumeration Date: | 08/24/2010 |
NPI Last Update Date: | 09/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 003581 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |