Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JACINDA B. ROACH, RD
ActiveNutrition, Education · JACKSON, MS
Registration Details
- NPI Number
- 1316139181
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 15, 2007 (18.727342932181 yrs)
- Last Updated
- Mar 3, 2010
- License
-
D1074 (MS)
Practice Information
- Address
-
1860 CHADWICK DRSUITE 150JACKSON, MS, 392043463Browse MS providers · Browse ZIP 39204
- Phone
- 6013761681
- Fax
- 6013762491
- Primary Specialty
-
Nutrition, Education
133NN1002X
Other Nutrition, Education Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| MISS TIFFANI L GRANT | LD | 1770770117 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.