SearchTexas133V00000X

Kaylee Jacks, MS, RD, CSSD, LD

NPI 1760257737 · on the registry since 2023 · sole proprietor

Practice

Address
2600 Cole Ave Apt 104
Dallas, TX 75204
Phone
(404) 702-2687
Clinicians at this address
2

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas