Individual
JENNIFER ANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1600 WEEOT WAY, ARCATA, CA 95521-4734
(707) 825-5000
(707) 825-5030
Mailing address
1600 WEEOT WAY, ARCATA, CA 95521-4734
(707) 825-5000
(707) 825-5030
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
912823
CA
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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