| Ms Kaylen Mcnamara James Jackson, RD, LD, CDE | |
|
1415 Saint Francis Ave, Shakopee, MN 55379-3374 | |
| (952) 993-3742 | |
| Not Available |
| Full Name | Ms Kaylen Mcnamara James Jackson |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1415 Saint Francis Ave, Shakopee, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225334709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 01021614 (Minnesota) | Primary |
| Provider Name | Park Nicollet Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kaylen Mcnamara James Jackson, RD, LD, CDE 8170 33rd Avenue South, Mail Stop 21110q, Minneapolis, MN 55440 Ph: (952) 883-6212 | Ms Kaylen Mcnamara James Jackson, RD, LD, CDE 1415 Saint Francis Ave, Shakopee, MN 55379-3374 Ph: (952) 993-3742 |
Mrs. Lynda Kay Schaumburg, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1455 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-403-2604 Fax: 952-403-3806 | |
Jennifer Meyer, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1455 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-428-3000 | |
Sarah Le, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 1685 Liberty Cir, Shakopee, MN 55379 Phone: 952-564-1721 | |
Jennifer Eileen Petrucci Drane, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1451 Adams St S, Shakopee, MN 55379 Phone: 952-403-1520 | |
Melanie Ann Sobolewski, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 2029 Pheasant Run St, Shakopee, MN 55379 Phone: 608-792-2585 | |
Ms. Michelle Marie Ruckmar, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1455 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-403-3396 |