Angela C. Jackson, RD, LD

Registered Dietitian · Lithonia, GA

Individual Active NPI

NPI number 1952603623

Practice location

5408 Wellborn Creek Dr
Lithonia, GA 30058-3549
Phone
(678) 418-7010

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NPI record

NPI
1952603623
Entity type
Individual (Type 1)
Enumeration date
December 1, 2010
Last updated
December 1, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X LD002290 GA

About Angela Jackson

Angela C. Jackson, RD, LD is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 5408 Wellborn Creek Dr, Lithonia, GA 30058-3549. The NPI number 1952603623 was assigned on December 1, 2010 and the record was last updated on December 1, 2010.

Angela Jackson lists a license in the registry: #LD002290 (GA) 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 Angela C. Jackson, RD, LD?

The NPI number is 1952603623.

What is the phone number of Angela Jackson?

The phone number listed for the practice location is (678) 418-7010.

Where is Angela Jackson located?

5408 Wellborn Creek Dr, Lithonia, GA 30058-3549.

What is the taxonomy code for Angela 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.

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