Active NPIIndividual provider

Biancha Jackson, MHSC, RD

Dietitian, Registered in Philadelphia, Pennsylvania

NPI Number1699477109
Practice location
5201 Haverford Ave, Philadelphia, PA 19139-1401
Fax
—
Last updated
March 20, 2023

Biancha Jackson is a Dietitian, Registered based in Philadelphia, PA. Biancha Jackson practices in Philadelphia, PA and has the professional credentials of MHSC, RD. The NPI Number for Biancha Jackson is 1699477109 and holds a License No. 86096975. The current practice location address for Biancha Jackson is 5201 Haverford Ave, Philadelphia, PA 19139-1401 and can be reached out via phone at 215-471-2761.

Provider Profile Details

NPI Number
1699477109
Provider Name
Biancha Jackson
Credential
MHSC, RD
Provider Entity Type
Individual
Gender
Female
Address
5201 Haverford Ave, Philadelphia, PA 19139-1401
Phone Number
215-471-2761
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
March 20, 2023
Last Update Date
March 20, 2023
Certification Date
March 20, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
5201 Haverford Ave
Philadelphia, PA 19139-1401
Zip
19139-1401
Phone Number
215-471-2761
Philadelphia, PA 19139Get directions →

Provider Business Mailing Address Details

Address
7 Dumont CT
Lawrenceville, NJ 08648-1334
City
Lawrenceville
State
NJ
Zip
08648-1334
Phone Number
609-902-0156

License Information

License Number
86096975
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dietitian, Registered providers near Philadelphia, PA

View all Dietitian, Registered providers in Philadelphia →

Frequently Asked Questions

What is the NPI number of Biancha Jackson, MHSC, RD?

The NPI number of Biancha Jackson, MHSC, RD is 1699477109. It was assigned on March 20, 2023 and is currently active in the NPPES registry.

What is the specialty of Biancha Jackson, MHSC, RD?

Biancha Jackson, MHSC, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed under license number 86096975.

Where does Biancha Jackson, MHSC, RD practice?

The practice location is 5201 Haverford Ave, Philadelphia, PA 19139-1401. The office can be reached at 215-471-2761 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699477109 directly on the NPPES registry website.

Browse related providers