NPI 1003143777

Charlotte Bell Jackson, MPHRDLDN

Practitioner Registered Dietitian Fuquay Varina, NC

Practice location

Address: 231 N Judd Pkwy NE, Fuquay Varina, NC 27526-2694
Phone: (919) 235-6410
Mailing address: PO Box 602195, Charlotte, NC 28260-2195

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence L002494 (NC)

Other Dietitian, Registered providers in North Carolina →

Registry record

NPI: 1003143777
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2009
Record last updated: 15 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.