Jacqueline Ann Deters, RD, IBCLC is a
Dietitian, Registered based in Albany, Minnesota. Jacqueline Ann Deters is licensed to practice in Minnesota (license number 873431) and her current practice location is
301 Sunset Ct, Albany, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(320) 250-0321.
NPI number for Jacqueline Ann Deters is 1477419737 and her current mailing address is 301 Sunset Ct, Albany, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477419737.
Healthcare Provider's Profile
| Full Name | Jacqueline Ann Deters |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 301 Sunset Ct, Albany, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477419737
- Provider Enumeration Date: 12/31/2025
- Last Update Date: 12/31/2025
Medical Identifiers
Medical identifiers for Jacqueline Ann Deters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477419737 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 873431 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Ann Deters is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jacqueline Ann Deters, RD, IBCLC 301 Sunset Ct, Albany, MN 56307-4600 Ph: (320) 250-0321 | Jacqueline Ann Deters, RD, IBCLC 301 Sunset Ct, Albany, MN 56307-4600 Ph: (320) 250-0321 |
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