NPI 1245875087 · live from the CMS NPI Registry
Audrey P Baxter, RDN
Dietitian, Registered in Jackson, MI. National Provider Identifier 1245875087, active.
NPI record
| NPI | 1245875087 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 214 N West Ave, Jackson, MI 49201 |
| Practice phone | 517-784-9189 |
| Enumerated | November 15, 2019 |
| Last updated | November 15, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.