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Mrs. Misty Mullins Clackum, RD,CSP,LDN
Pediatric Nutrition Registered Dietitian in Gainesville, Georgia
NPI 1073944492

Misty Mullins Clackum is a Pediatric Nutrition Registered Dietitian based in Gainesville, GA and is specialized in Nutrition, Pediatric. Misty Mullins Clackum practices in Gainesville, GA and has the professional credentials of RD,CSP,LDN. The NPI Number for Misty Mullins Clackum is 1073944492 and holds a License No. LD002340 (Georgia).

The current practice location address for Misty Mullins Clackum is 3869 Berkshire Ridge Dr, Gainesville, GA and can be reached out via phone at 423-284-5512.

Location: 3869 Berkshire Ridge Dr, Gainesville, GA, 30506-4560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073944492
Provider Name
Misty Mullins Clackum
Credential
RD,CSP,LDN
Provider Entity Type
Individual
Gender
Female
Address
3869 Berkshire Ridge Dr, Gainesville, GA, 30506-4560
Phone Number
423-284-5512
Fax Number
Provider Enumeration Date
12/11/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q038482 05 TN
institution
Provider Business Practice Location Address Details
Address
3869 Berkshire Ridge Dr
City
Gainesville
State
Georgia
Zip
30506-4560
Phone Number
423-284-5512
Fax Number
person
Provider Business Mailing Address Details
Address
3869 Berkshire Ridge Dr
City
Gainesville
State
Georgia
Zip
30506-4560
Phone Number
423-284-5512
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
LD002340 (Georgia)
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
person
Provider's Taxonomy Details 2
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Pediatric
Taxonomy
133VN1004X
License No.
1250 (Tennessee)
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
person
Provider's Taxonomy Details 3
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Pediatric Critical Care
Taxonomy
133VN1401X
License No.
LD002340 (Georgia)
Definition
An individual who is a Board Certified Specialist in Pediatric Critical Care Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for critically ill infants, children and adolescents. Additional roles could include coordination, education, quality improvement, or research linked specifically to pediatric critical care nutrition.
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