Individual
MS. AMY R. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1901 VETERANS MEMORIAL DR, TEMPLE, TEMPLE, TX 76504-7451
(800) 423-2111
Mailing address
1901 VETERANS MEMORIAL DR, TEMPLE, TEMPLE, TX 76504-7451
(800) 423-2111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/03/2006
Last updated
07/11/2007
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