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JESSICA JACKSON MS, RD, LD
NPI 1376823559
Dietitian, Registered in Hurricane, WV

Active since August 19, 2011
179 STATION PLACE WAY, SUITE 100, HURRICANE, WV 25526(304) 760-6300(304) 201-5123 Get Directions Write a Review

NPPES record last updated: August 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Jackson Ms, Rd, Ld NPPES

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

JESSICA JACKSON MS, RD, LD (NPI 1376823559) is an individual dietitian, registered in Hurricane, West Virginia, licensed in West Virginia (WV #709) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1376823559
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJESSICA JACKSONCredential: MS, RD, LD
Location Address179 STATION PLACE WAY, SUITE 100Hurricane, WV 25526-8747
Mailing AddressPo Box 450Scott Depot, WV 25560-0450 · (304) 760-6300 · Fax (304) 201-5123
Phone(304) 760-6300
Fax(304) 201-5123
Sole ProprietorNo
Enumeration DateAugust 19, 2011
✔ NPI 1376823559 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 WV · WV #709
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.
179 STATION PLACE WAY, Hurricane, WV 25526
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Other Providers at the Same Location NPPES 16

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

MILESTONES PHYSICAL THERAPY, INC.
Physical Therapist
179 STATION PLACE WAY
HURRICANE, WV 25526
Putnam County (304) 760-6300
MRS. JULIE E BLAKE M.A. CCC-SLP
Speech-Language Pathologist
179 STATION PLACE WAY
HURRICANE, WV 25526
Putnam County (304) 760-6300
ANGELA BROOKE OSBURN OTR/L
Occupational Therapist
179 STATION PLACE WAY
HURRICANE, WV 25526
Putnam County (304) 760-6300
MRS. HEATHER LAINE ADKINS OTR/L
Occupational Therapist (Pediatrics)
179 STATION PLACE WAY
HURRICANE, WV 25526
Putnam County (304) 760-6300
CHRISTOPHER L DEWESE MD
Pediatrics
179 STATION PLACE WAY, SUITE 200
HURRICANE, WV 25526
Putnam County (304) 691-8870
MRS. KATIE TAYLOR ETHRIDGE MOT, OTRL
Specialist
179 STATION PLACE WAY, SUITE 100
HURRICANE, WV 25526
Putnam County (304) 760-6300
JOY ELIZABETH COLE MS, CCC-SLP
Speech-Language Pathologist
179 STATION PLACE WAY, SUITE 100
HURRICANE, WV 25526
Putnam County (304) 760-6300
MARY ELISE JOHNSON O.T.R./L.
Occupational Therapist
179 STATION PLACE WAY, SUITE 100
HURRICANE, WV 25526
Putnam County (304) 760-6300

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 Jessica Jackson's NPI number?

The NPI number for Jessica Jackson is 1376823559. It was assigned to this individual provider in the NPPES registry on August 19, 2011.

Where is Jessica Jackson located?

Jessica Jackson practices at 179 Station Place Way Suite 100, Hurricane, WV 25526. The listed phone number is (304) 760-6300.

What is Jessica 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 Jessica Jackson was last updated on August 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.