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ANDE M JACKSON, MS,CNC – NPI #1831212638
Nutrition, Education

NPI Profile for ANDE M JACKSON in GREENVILLE, SC.

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Contact Information

ANDE M JACKSON, MS,CNC
219 LAKE CIRCLE DR
GREENVILLE, SC  29609-6623
 Phone: 864-849-0279
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Nutrition, Education

 133NN1002X
Indicates primary specialty

NPI Profile & details for ANDE M JACKSON · (Female)

NPI # 1831212638
Status Active
Credentials MS,CNC
Entity Individual
Enumeration date 04/08/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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