NPI 1013758374

Shanta Dayjah Jackson, RDN

Practitioner Registered Dietitian Mechanicsville, VA

Practice location

Address: 8266 Atlee Rd STE 215, Mechanicsville, VA 23116-1805
Phone: (804) 248-3878

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 86289730 (VA)

Other Dietitian, Registered providers in Virginia →

Registry record

NPI: 1013758374
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jun 2024
Record last updated: 15 Aug 2024

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.