Mrs Jackie W Berry, is a
Dietitian, Registered based in Etowah, Tennessee. Mrs Jackie W Berry is licensed to practice in Tennessee (license number LDN0000001639) and her current practice location is
886 Highway 411 N, Etowah, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(423) 263-3600.
NPI number for Mrs Jackie W Berry is 1427387653 and her current mailing address is 886 Highway 411 N, Etowah, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427387653.
Healthcare Provider's Profile
Full Name | Mrs Jackie W Berry |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 886 Highway 411 N, Etowah, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427387653
- Provider Enumeration Date: 12/17/2009
- Last Update Date: 12/17/2009
Medical Identifiers
Medical identifiers for Mrs Jackie W Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427387653 | NPI | - | NPPES |
877298 | Other | TN | REGISTERED DIETITIAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LDN0000001639 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jackie W Berry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jackie W Berry, 886 Highway 411 N, Etowah, TN 37331-1912 Ph: (423) 263-3600 | Mrs Jackie W Berry, 886 Highway 411 N, Etowah, TN 37331-1912 Ph: (423) 263-3600 |
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