NPI 1831212638
Ande M Jackson, MSCNC
Practice location
- Address
- 219 Lake Circle Dr, Greenville, SC 29609-6623
- Phone
- (864) 849-0279
Registered specialties
Nutrition Education Nutritionist
Primary
Registry record
- NPI
- 1831212638
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Apr 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.