Tracie Lee Jackson, RDN, LMNT, CDCES

Registered Dietitian · Ocala, FL

Individual Active NPI

NPI number 1982807715

Practice location

1440 SW 3rd Ave
Ocala, FL 34471-6513
Phone
(352) 402-5295

Open in Google Maps

NPI record

NPI
1982807715
Entity type
Individual (Type 1)
Enumeration date
June 8, 2007
Last updated
April 29, 2024
Certified
April 29, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X 12865 FL
Registered Dietitian 133V00000X 347 NE

Mailing address

PO Box 127
Herman, NE 68029-0127
Phone
(402) 456-7876

About Tracie Jackson

Tracie Lee Jackson, RDN, LMNT, CDCES is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 1440 SW 3rd Ave, Ocala, FL 34471-6513. The NPI number 1982807715 was assigned on June 8, 2007 and the record was last updated on April 29, 2024.

Tracie Jackson lists 2 licenses in the registry: #12865 (FL) for Registered Dietitian; #347 (NE) 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 Tracie Lee Jackson, RDN, LMNT, CDCES?

The NPI number is 1982807715.

What is the phone number of Tracie Jackson?

The phone number listed for the practice location is (352) 402-5295.

Where is Tracie Jackson located?

1440 SW 3rd Ave, Ocala, FL 34471-6513.

What is the taxonomy code for Tracie Jackson?

The primary taxonomy code is 133V00000X – Registered Dietitian; 1 more listed above.

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 Ocala

All Registered Dietitian providers in Ocala, FL →