Tierra Jasmine Carter, RD LDN
Dietitian, Registered in Port Saint Lucie, FL. Individual provider (NPI-1).
NPI number1164072054
StatusActive
Last updated in NPPESSep 12, 2019
Details
- NPI
- 1164072054
- Entity type
- Individual (NPI-1)
- Name
- Ms. Tierra Jasmine Carter
- Credential
- RD LDN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 12, 2019
- Last updated
- Sep 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | ND9056 | FL | Yes |
Practice location
3951 Sw McCrory StPort Saint Lucie, FL 34953-3970
Phone 772-812-9168
Mailing address
3951 Sw McCrory StPort Saint Lucie, FL 34953-3970
Phone 772-812-9168
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All 9 Registered Dietitian providers in Port Saint Lucie · All 2,132 providers in Port Saint Lucie
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