Individual
EARNESTINE D JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
250 N 5TH ST APT 2411, GARLAND, TX 75040-6355
(214) 417-3836
Mailing address
250 N 5TH ST APT 2411, GARLAND, TX 75040-6355
(214) 417-3836
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
86174756
TX
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
174400000X
Specialist
—
—
Other
Enumeration date
02/06/2021
Last updated
02/06/2021
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