Individual
CHRISTY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
40 MEDICINE CIRCLE ROOM 015, PURPLE ZONE, DURHAM, NC 27710-0001
(919) 681-4810
Mailing address
109 LEGISLATIVE PL, MORRISVILLE, NC 27560-5308
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L001851
NC
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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