Earnestine D Jackson, MS, RDN, LD

NPI #1104418672 in Garland, Texas

Provider Information

NPI Number: 1104418672
Entity Type: Individual
Name: Earnestine D Jackson, MS, RDN, LD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: MS, RDN, LD
Enumeration Date: Feb 6, 2021
Last Updated: Feb 6, 2021

Practice Location

Address: 250 N 5TH ST APT 2411
City: Garland
State: Texas
ZIP Code: 75040-6355
Phone: (214) 417-3836

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X
Nutritionist - Nutrition, Education — Nutrition, Education	133NN1002X
Dietitian, Registered - Nutrition, Obesity and Weight Management — Nutrition, Obesity and Weight Management	133VN1201X
Specialist	174400000X
Dietitian, Registered	133V00000X	Primary

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