Olivia Jackson, RD is a
Dietitian, Registered based in Valley, Alabama. Olivia Jackson is licensed to practice in * (Not Available) (license number ) and her current practice location is
4800 48th St, Valley, Alabama. She can be reached at her office (for appointments etc.) via phone at
(334) 710-0037.
NPI number for Olivia Jackson is 1689272759 and her current mailing address is 4800 48th St, Valley, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689272759.
Healthcare Provider's Profile
Full Name | Olivia Jackson |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 4800 48th St, Valley, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689272759
- Provider Enumeration Date: 10/12/2020
- Last Update Date: 11/02/2020
Medical Identifiers
Medical identifiers for Olivia Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689272759 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133VN1004X | Dietitian, Registered - Nutrition, Pediatric | (* (Not Available)) | Secondary |
133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | (* (Not Available)) | Secondary |
133V00000X | Dietitian, Registered | (* (Not Available)) | 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. Olivia Jackson 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 |
Olivia Jackson, RD 4800 48th St, Valley, AL 36854-3666 Ph: () - | Olivia Jackson, RD 4800 48th St, Valley, AL 36854-3666 Ph: (334) 710-0037 |
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