IndividualActive
Ann Blackwell, CEDRD, RD, LD
NPI 1639414923 · Registered Dietitian · Raleigh, MS
Provider details
- NPI number
- 1639414923
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- CEDRD, RD, LD
- Sex
- Female
- Sole proprietor
- No
- License
- D0705 (MS)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
226 Whiteoak Ave
Raleigh, MS 39153-6082
Phone: (601) 782-9919
Fax: (601) 782-9920
Approximate (ZIP-level) locationGet directions
Mailing address
226 Whiteoak Ave
Raleigh, MS 39153-6082
Registry dates
- Enumerated
- 2012-11-28
- Last updated
- 2012-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.