Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIA JACKSON
ActiveTIA JACKSON is a Registered Dietitian healthcare provider located in BEAVERCREEK, Ohio. NPI 1316505811 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · BEAVERCREEK, OH
Registration Details
- NPI Number
- 1316505811
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2019 (7.1615847417582 yrs)
- Last Updated
- May 31, 2019
- License
-
LD.8212 (OH)
Practice Information
- Address
-
2510 COMMONS BLVD STE 130BEAVERCREEK, OH, 454313820Browse OH providers · Browse ZIP 45431
- Phone
- 9375583064
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in BEAVERCREEK, OH
| Name | Credential | NPI |
|---|---|---|
| HILLARY HAWTHORNE MARCONCINI | DIETITIAN | 1003319534 |
| JESSICA VENCILL | — | 1497241335 |
| SAMANTHA LEYH | RD | 1003476110 |
| ALLISON BRANDT | RD | 1952902637 |
| SAMANTHA LILLIAN KRUTKA | RD, LD | 1275137432 |
| JOHANNA GRACE KULTYS | — | 1336826627 |
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.