Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ALEXANDRA M JACK, RD
Active Sole ProprietorMRS. ALEXANDRA M JACK, RD is a Registered Dietitian healthcare provider located in VANCOUVER, Washington. NPI 1972674083 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · VANCOUVER, WA
Registration Details
- NPI Number
- 1972674083
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 11, 2006 (19.712350493386 yrs)
- Last Updated
- Oct 10, 2013
- License
-
560 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8716 E MILL PLAIN BLVDSPECIALTY CLINICS BUILDINGVANCOUVER, WA, 986642531Browse WA providers · Browse ZIP 98664
- Phone
- 3605147932
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in VANCOUVER, WA
| Name | Credential | NPI |
|---|---|---|
| MS. KATHY SUE CANNY | RD, CD, CDE | 1801868518 |
| /ELSPETH MARY JOAN DUREK | R.D., C.D. | 1639133556 |
| SUSAN C. HOLTORF | R.D. | 1649289109 |
| JENNIFER J NEWMAN | RD | 1104909266 |
| JENNIFER M PROUSE | RD | 1083797146 |
| JEAN L CARLSON | RD | 1467527051 |
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.