Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROLINE CLANCY, RDN
ActiveSports Dietetics · STARKVILLE, MS
Registration Details
- NPI Number
- 1942002175
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2025 (1.0743211322215 yrs)
- Last Updated
- Mar 26, 2025
- License
-
2572 (MS)
Practice Information
- Address
-
103 EUDORA WELTY DR APT K9STARKVILLE, MS, 397597751Browse MS providers · Browse ZIP 39759
- Phone
- 9044020801
- Primary Specialty
-
Sports Dietetics
133VN1501X
- Additional Specialty
- Sports Dietetics
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.