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MRS. SHANNON BYRD JACKSON RD, LDN
NPI 1033429832
Dietitian, Registered in Wilson, NC

Active since October 14, 2010
1705 TARBORO ST SW, WILSON, NC 27893(252) 399-8768(252) 399-7494 Get Directions Write a Review

NPPES record last updated: October 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Shannon Byrd Jackson Rd, Ldn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHANNON BYRD JACKSON RD, LDN (NPI 1033429832) is an individual dietitian, registered in Wilson, North Carolina, licensed in North Carolina (L002445) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1033429832
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. SHANNON BYRD JACKSONCredential: RD, LDN
Location Address1705 TARBORO ST SWWilson, NC 27893-3428
Mailing Address1705 Tarboro St SwWilson, NC 27893-3428 · (252) 399-8768 · Fax (252) 399-7494
Phone(252) 399-8768
Fax(252) 399-7494
Sole ProprietorNo
Enumeration DateOctober 14, 2010
✔ NPI 1033429832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NC · L002445
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.
1705 TARBORO ST SW, Wilson, NC 27893
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COASTAL PLAINS PATHOLOGY PA
Pathology (Anatomic Pathology & Clinical Pathology)
1705 TARBORO ST SW
WILSON, NC 27893
Wilson County (252) 399-8703
KONDAL RAO MADARAM MD
Psychiatry & Neurology (Psychiatry)
1705 TARBORO ST SW
WILSON, NC 27893
Wilson County (252) 399-7057
SHANNON VASILINDA RDN, LDN
Dietitian, Registered
1705 TARBORO ST SW
WILSON, NC 27893
Wilson County (252) 399-8767
GAVIN SNYDER P.A.
Physician Assistant
1705 TARBORO ST SW, WILSON MEDICAL CENTER
WILSON, NC 27893
Wilson County (252) 399-8558
MS. TRACY BOWMAN PA
Physician Assistant (Medical)
1705 TARBORO ST SW
WILSON, NC 27893
Wilson County (252) 399-8928
VAUGHN MITCHELL MATACALE M.D.
Specialist
1705 TARBORO ST SW
WILSON, NC 27893
Wilson County (252) 399-8040
RANJANI SUNIL
Physician Assistant
1705 TARBORO ST SW
WILSON, NC 27893
Wilson County (252) 399-8040
PATRICIA BECKHAM CRNA
Nurse Anesthetist, Certified Registered
1705 TARBORO ST SW
WILSON, NC 27893
Wilson County (252) 399-8040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Jackson's NPI number?

The NPI number for Shannon Jackson is 1033429832. It was assigned to this individual provider in the NPPES registry on October 14, 2010.

Where is Shannon Jackson located?

Shannon Jackson practices at 1705 Tarboro St SW, Wilson, NC 27893. The listed phone number is (252) 399-8768.

What is Shannon Jackson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Shannon Jackson was last updated on October 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.