Griffiths, Jackie R

Griffiths, Jackie R is an sole proprietor health care provider with primary practice located at 4474 23Rd Ave S Ste M , Fargo ND 58104-8795. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Renal. Dietary & Nutritional Service Providers / Nutrition, Renal is her primary health care specialty. Griffiths, Jackie R can be contacted via phone (701) 282-2635.

Contact Information

Primary practice address
4474 23Rd Ave S Ste M Fargo ND 58104-8795
Phone: (701) 282-2635
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 736 North Dakota
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 736 North Dakota

Profile Details

NPI number 1386829844
LBN Legal business name Griffiths, Jackie R
Credentials RD,LN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2008
Last updated Jan 3rd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers