MRS. Ande M Jackson, MS,CNC

NPI #1831212638 in Greenville, South Carolina

Provider Information

NPI Number: 1831212638
Entity Type: Individual
Name: MRS. Ande M Jackson, MS,CNC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nutritionist - Nutrition, Education
Credential: MS,CNC
Enumeration Date: Apr 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 219 LAKE CIRCLE DR
City: Greenville
State: South Carolina
ZIP Code: 29609-6623
Phone: (864) 849-0279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist - Nutrition, Education — Nutrition, Education	133NN1002X	Primary

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