Brent Jackson

Registered Dietitian · Baxter, TN

Individual Active NPI

NPI number 1053228353

Practice location

7884 Platinum Cir
Baxter, TN 38544-1000
Phone
(615) 584-1370

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NPI record

NPI
1053228353
Entity type
Individual (Type 1)
Enumeration date
August 25, 2026
Last updated
August 25, 2026
Certified
August 25, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X 4614 TN

About Brent Jackson

Brent Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 7884 Platinum Cir, Baxter, TN 38544-1000. The NPI number 1053228353 was assigned on August 25, 2026 and the record was last updated on August 25, 2026.

Brent Jackson lists a license in the registry: #4614 (TN) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brent Jackson?

The NPI number is 1053228353.

What is the phone number of Brent Jackson?

The phone number listed for the practice location is (615) 584-1370.

Where is Brent Jackson located?

7884 Platinum Cir, Baxter, TN 38544-1000.

What is the taxonomy code for Brent Jackson?

The primary taxonomy code is 133V00000X – Registered Dietitian.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.