Candy L. Jackson, R.D.

Registered Dietitian · Spokane, WA

Individual Active NPI

NPI number 1912996257

Practice location

1803 W Maxwell Ave
Spokane, WA 99201-2831
Phone
(509) 325-5502
Fax
(509) 325-9839

Open in Google Maps

NPI record

NPI
1912996257
Entity type
Individual (Type 1)
Enumeration date
October 19, 2005
Last updated
August 10, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X DI00001765 WA

Mailing address

505 E North Foothills Dr
Spokane, WA 99207-2101
Phone
(509) 483-7535
Fax
(509) 483-9460

About Candy Jackson

Candy L. Jackson, R.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 1803 W Maxwell Ave, Spokane, WA 99201-2831. The NPI number 1912996257 was assigned on October 19, 2005 and the record was last updated on August 10, 2009.

Candy Jackson lists a license in the registry: #DI00001765 (WA) 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 Candy L. Jackson, R.D.?

The NPI number is 1912996257.

What is the phone number of Candy Jackson?

The phone number listed for the practice location is (509) 325-5502.

Where is Candy Jackson located?

1803 W Maxwell Ave, Spokane, WA 99201-2831.

What is the taxonomy code for Candy 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.

Other Registered Dietitian providers in Spokane

All Registered Dietitian providers in Spokane, WA →