Individual
MS. DEBORAH ANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD/N
Contact information
Practice address
27821 STATE HIGHWAY 181 UNIT 903, DAPHNE, AL 36526-8662
(850) 512-5790
Mailing address
27821 STATE HIGHWAY 181 UNIT 903, DAPHNE, AL 36526-8662
(850) 512-5790
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND2804
FL
Other
Enumeration date
10/27/2007
Last updated
02/09/2025
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