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Contact Information

JOHNNIE L JACKSON, MS, RD, LDN
1785 KEITH HILLS ROAD
LILLINGTON, NC27546
 Phone: 910-814-2909
 Fax: 910-893-2167
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for JOHNNIE L JACKSON · (Female)

NPI # 1861614786
Status Active
Credentials MS, RD, LDN
Entity Individual
Enumeration date 05/02/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # L000862
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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