Individual
MRS. BROOKE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-6872
(601) 200-6805
Mailing address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-6972
(601) 200-6805
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
D-1159
MS
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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