Provider Demographics
NPI:1265899256
Name:HOOD, JESSICA MURPHY (RD, LDN)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:MURPHY
Last Name:HOOD
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 1:823 W CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71270-4911
Mailing Address - Country:US
Mailing Address - Phone:318-224-3044
Mailing Address - Fax:318-232-2978
Practice Address - Street 1:823 W CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270-4911
Practice Address - Country:US
Practice Address - Phone:318-224-3044
Practice Address - Fax:318-232-2978
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1028204133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered