MS. JACKIE SHANK, R.D.

Dietitian, Registered

Active Individual
NPI: 1427178425

Practice Address

401 PORPOISE POINT DR
St Augustine, FL 32084

Phone: (904) 826-4307

Specialties

Specialty Code Primary License
Dietitian, Registered 133V00000X Yes ND812 (FL)

Frequently Asked Questions

NPI 1427178425 is the National Provider Identifier for MS. JACKIE SHANK, R.D., a Dietitian, Registered provider located in St Augustine, FL. This NPI was enumerated on March 31, 2007.
MS. JACKIE SHANK, R.D. practices at 401 PORPOISE POINT DR, St Augustine, FL 32084.

Quick Facts

NPI
1427178425
Type
Individual
Enumerated
Mar 31, 2007
Last Updated
Jul 8, 2007

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