Individual
DR. JENNIFER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
101 VINEMONT DR, LAFAYETTE, LA 70501-6579
(337) 356-2244
Mailing address
101 VINEMONT DR, LAFAYETTE, LA 70501-6579
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2522
LA
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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