Individual
MRS. KRISTINA LYNN STURDIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 368-4483
Mailing address
136 PLANTERS GRV, BRANDON, MS 39047-9040
(601) 362-4471
(601) 368-4483
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
888259
—
133V00000X
Registered Dietitian
Primary
D0924
MS
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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