Trisha Jackson, RD is a
Dietitian, Registered based in Richmond, Missouri. Trisha Jackson is licensed to practice in Missouri (license number 2004023103) and her current practice location is
904 Wollard Blvd, Richmond, Missouri. She can be reached at her office (for appointments etc.) via phone at
(816) 470-5432.
NPI number for Trisha Jackson is 1558741496 and her current mailing address is 1208 Sw 8th St, Oak Grove, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558741496.
Healthcare Provider's Profile
Full Name | Trisha Jackson |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 904 Wollard Blvd, Richmond, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558741496
- Provider Enumeration Date: 06/05/2015
- Last Update Date: 06/05/2015
Medical Identifiers
Medical identifiers for Trisha Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558741496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 2004023103 (Missouri) | 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. Trisha 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 |
Trisha Jackson, RD 1208 Sw 8th St, Oak Grove, MO 64075-9325 Ph: () - | Trisha Jackson, RD 904 Wollard Blvd, Richmond, MO 64085-2229 Ph: (816) 470-5432 |
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