Provider Demographics
NPI:1811364524
Name:DRIGGERS, JESSICA CHADWELL (RD LDN)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:CHADWELL
Last Name:DRIGGERS
Suffix:
Gender:F
Credentials:RD LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8158 PERFECT VW
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-4962
Mailing Address - Country:US
Mailing Address - Phone:423-994-8168
Mailing Address - Fax:423-370-1667
Practice Address - Street 1:8158 PERFECT VW
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-4962
Practice Address - Country:US
Practice Address - Phone:423-994-8168
Practice Address - Fax:423-370-1667
Is Sole Proprietor?:No
Enumeration Date:2015-08-28
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered