NPI 1144350281

Jacquelyn Elaine Wells, RD

Practitioner Registered Dietitian Jackson, MS

Practice location

Address: 570 East Woodrow Wilson Wic Central Office, Jackson, MS 39215-1700
Phone: (601) 987-4666
Mailing address: 103 Magnolia Way, Pearl, MS 39208-3366

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence D0594 (MS)

Other Dietitian, Registered providers in Mississippi →

Registry record

NPI: 1144350281
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Mar 2007
Record last updated: 8 Jul 2007

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.