Carrie Michele Jackson, R.D, L..D Valid NPI
Individual provider · Registered Dietitian · Rainbow City, AL
- NPI
- 1285720664
- Type
- Individual (Type 1)
- Primary specialty
- Registered Dietitian (Dietitian, Registered)
- Specialty group
- Dietary & Nutritional Service Providers
- Taxonomy code
- 133V00000X
- License number
- 1188 (AL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2006-10-05
- Last updated
- 2007-07-08
Practice location
206 Rescia Ave
Rainbow City, AL 35906-5933
(256) 413-7154