Jacquelyn Nicole Bove, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

003581 Issued in GA

Practice address

821 N Cobb St
Milledgeville, GA 31061-2343

Phone

(478) 457-2300

Fax

(478) 454-3934

NPI assigned

Aug 24, 2010

Last updated

Sep 15, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1831405125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N COBB ST",
            "address_2": "EDUCATION DEPT",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612343",
            "telephone_number": "478-457-2300",
            "fax_number": "478-454-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N COBB ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612343",
            "telephone_number": "478-457-2300",
            "fax_number": "478-454-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVE",
        "first_name": "JACQUELYN",
        "middle_name": "NICOLE",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "003581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parker Rhett Blizzard, FNP-C
• Lisha Bly
• Patrice D Boddie, M.D.
• Amy Lin Bonner
• Norman Bostic, CTRS
• Mary Dawn Bowen, RN
• Christopher Bowers, MD
• Ronald Jack Boyd, MD
• Ben Braddy
• Harinder S Brar, M.D.

• Registered Dietitian in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.