Organization
JACKSON MADISON GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HANCOCK (DIETITIAN)
(731) 541-6564
Entity
Organization
Contact information
Practice address
101 JACKSON WALK PLAZA, JACKSON, TN 38301
(731) 427-7048
Mailing address
620 SKYLINE DR, JACKSON, TN 38301-3923
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/08/2013
Last updated
10/30/2025
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