Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JACKIE SUE SHANK, R.D.
Active Sole ProprietorMS. JACKIE SUE SHANK, R.D. is a Registered Dietitian healthcare provider located in ST AUGUSTINE, Florida. NPI 1427178425 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · ST AUGUSTINE, FL
Registration Details
- NPI Number
- 1427178425
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 31, 2007 (19.340093319468 yrs)
- Last Updated
- Jul 8, 2007
- License
-
ND812 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
401 PORPOISE POINT DRST AUGUSTINE, FL, 320842959Browse FL providers · Browse ZIP 32084
- Phone
- 9048264307
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in ST AUGUSTINE, FL
| Name | Credential | NPI |
|---|---|---|
| KATHERINE LORRAINE VOGEL | RD | 1568434264 |
| MRS. LISA MARGARET HALL | R.D. | 1922054154 |
| MRS. CAROLYN K. MESSER | RD, LDN | 1083659056 |
| KATHERINE M JENNISON | RD LDN | 1144422700 |
| DR. CASEY R COLIN | DCN, RDN, LN, CNSC | 1477709541 |
| AMANDA QUIGLEY PERRIN | R.D. | 1598011314 |
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.