Jami Lynn Faulkner, MS, RD, LD

Individual provider Active NPI Registered Dietitian · Mayflower, AR

NPI 1902235302 · NPPES record last updated Nov 6, 2013

Key facts

NPI
1902235302
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
1277 (AR)
Practice address
6 Ledrick Cir
Mayflower, AR 72106-8404
Phone
(479) 461-2222
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1277ARMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1277 AR Yes

Addresses

Primary practice location

6 Ledrick Cir
Mayflower, AR 72106-8404

Mailing address

6 Ledrick Cir
Mayflower, AR 72106-8404
Phone (479) 461-2222

Other providers in Mayflower, AR

All providers in Mayflower, AR · Registered Dietitian in Arkansas

Sources for this page

Verify at the official NPI Registry.