Tameka Johnson, RD, CLC, CCP | |
338 Oak St, Jackson, MS 39203-1810 | |
(601) 329-5751 | |
Not Available |
Full Name | Tameka Johnson |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 338 Oak St, Jackson, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114625274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | D-1329 (Mississippi) | Primary |
Provider Name | H E A L Mississippi |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710659453 PECOS PAC ID: 5496142036 Enrollment ID: O20220428001468 |
Mailing Address | Practice Location Address |
---|---|
Tameka Johnson, RD, CLC, CCP 338 Oak St, Jackson, MS 39203-1810 Ph: (601) 329-5751 | Tameka Johnson, RD, CLC, CCP 338 Oak St, Jackson, MS 39203-1810 Ph: (601) 329-5751 |
Camille Barnes, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5065 | |
Mrs. Angela A. Causey, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471 | |
Nutrition Systems Wellness, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 603 Duling Ave, Suite 207, Jackson, MS 39216 Phone: 601-984-3126 Fax: 601-984-3127 | |
Ronald Dwayne Woods, RD, CHES Dietitian Medicare: Medicare Enrolled Practice Location: 1 Ashton Gardens Dr, Jackson, MS 39211 Phone: 601-818-4442 | |
Denise Williams Barnett, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471 | |
Ester V Higginbotham, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471 Fax: 601-368-4483 |