Individual
LAURA BURROSS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7957
Mailing address
1245G CEDAR RD # 308, CHESAPEAKE, VA 23322-7103
(757) 839-0562
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86093279
VA
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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