Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TWYLA DOUGLAS JACKSON I, RDN, CSO, LD
ActiveOncology Nutrition · ATLANTA, GA
Registration Details
- NPI Number
- 1356978340
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 27, 2020 (6.0717822448143 yrs)
- Last Updated
- Mar 27, 2020
Practice Information
- Address
-
CLINICAL NUTRITION1000 JOHNSON FERRY RD NEATLANTA, GA, 30342Browse GA providers · Browse ZIP 30342
- Phone
- 4044322916
- Primary Specialty
-
Oncology Nutrition
133VN1301X
Other Oncology Nutrition Providers in ATLANTA, GA
| Name | Credential | NPI |
|---|---|---|
| KRISTIN DUGGER CUCULOVSKI | RDN | 1497169189 |
| MARY PARKER FORBUS | MS, RD, CSO, LD | 1265068480 |
| HALEY MCGAHA | RDN, CSO, LD | 1255084430 |
| ADDIE LAFOREST BROOKS | MSHA, RDN, CSO, LD | 1538859681 |
| CHARLOTTE CHANG | RDN | 1740011766 |
| MR. JOHN COSPER KITTRELL | RDN | 1356133854 |
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.