Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN SHANE CLACK, MS, RD, LD
ActiveJONATHAN SHANE CLACK, MS, RD, LD is a Registered Dietitian healthcare provider located in WEATHERFORD, Texas. NPI 1801230685 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · WEATHERFORD, TX
Registration Details
- NPI Number
- 1801230685
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2013 (13.286679746999 yrs)
- Last Updated
- Jun 19, 2018
- License
-
DT82634 (TX)
Practice Information
- Address
-
805 TERRY TRLWEATHERFORD, TX, 760864601Browse TX providers · Browse ZIP 76086
- Phone
- 8176290420
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in WEATHERFORD, TX
| Name | Credential | NPI |
|---|---|---|
| MRS. WHITNEY BLAIR HOPKINS I | RD,LD | 1689811333 |
| ASHLEY PHILLIPS | RD/LD | 1649507112 |
| STACEY WOOD | RDLD | 1306180286 |
| BAILEY DIXON CLACK | RD, LD, CNSC | 1538592308 |
| MS. GLENYS OYSTON | R.D. | 1053744649 |
| GINA HALL | — | 1225729189 |
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.