| Ms Jaclyn West, REGISTERED DIETITION | |
|
3360 Wayne Sullivan Dr, Paducah, KY 42003 | |
| (270) 443-9474 | |
| (270) 443-9477 |
| Full Name | Ms Jaclyn West |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 3360 Wayne Sullivan Dr, Paducah, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154098879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2016 (Kentucky) | Primary |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jaclyn West, REGISTERED DIETITION Po Box 497, Augusta, AR 72006-0497 Ph: (870) 347-2534 | Ms Jaclyn West, REGISTERED DIETITION 3360 Wayne Sullivan Dr, Paducah, KY 42003 Ph: (270) 443-9474 |
Ruth Kraper, R.D. L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 619 N 30th St, Paducah, KY 42001 Phone: 270-444-8183 Fax: 270-444-8147 |
Weights And Plates Rd Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 155 Fantacy Ln, Paducah, KY 42003 Phone: 270-210-9159 |
Mrs. Bridget Young, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2341 New Holt Road, Paducah, KY 42001 Phone: 270-408-9355 |
The Weights And Plates Rd Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 155 Fantacy Lane, Paducah, KY 42003 Phone: 270-210-9159 |
Mrs. Tish Chambrae Mavigliano, R.D., L.D., CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6525 U S Highway 60 W, Suite 100, Paducah, KY 42001 Phone: 270-217-9691 Fax: 270-575-9515 |
Renee Collette Waggoner, MS RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1530 Lone Oak Rd, Paducah, KY 42003 Phone: 270-444-2909 Fax: 270-444-2977 |
Ms. Deborah Susan Mason-tarr, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1528 Lone Oak Rd, Paducah, KY 42003 Phone: 270-415-3888 Fax: 270-415-3896 |