Individual
MS. BEVERLY ANN JACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RDN
Contact information
Practice address
125 S LYNCHBURG ST, CHESTERTOWN, MD 21620-1146
(410) 778-2167
Mailing address
CECIL COUNTY EXTENSION OFFICE, 200 CHESAPEAKE BLVD., ELKTON, MD 21921
(410) 996-8133
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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