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Individual

MRS. APRIL WILLIS JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN

Contact information

Practice address
2138 GLENWORTH AVE, LOUISVILLE, KY 40218-2185
(662) 260-0195
Mailing address
15 RYE ST STE 305, PORTSMOUTH, NH 03801-6846

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
172871
KY
133V00000X
Registered Dietitian
37002770A
IN
133V00000X
Registered Dietitian
D1489
MS

Other

Enumeration date
07/12/2017
Last updated
07/12/2017
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