Jackson, Earnestine D

Jackson, Earnestine D is an individual health care provider with primary practice located at 250 N 5Th St Apt 2411 , Garland TX 75040-6355. She recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education, Other Service Providers / Specialist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Jackson, Earnestine D can be contacted via phone (214) 417-3836.

Contact Information

Primary practice address
250 N 5Th St Apt 2411 Garland TX 75040-6355
Phone: (214) 417-3836
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Other Service Providers / Specialist 174400000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86174756 Texas

Profile Details

NPI number 1104418672
LBN Legal business name Jackson, Earnestine D
Credentials MS, RDN, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2021
Last updated Feb 6th, 2021 - about 4 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.

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