IndividualActive
Cassie Carroll, RD, LDN
NPI 1700608098 · Registered Dietitian · Jackson, MS
Provider details
- NPI number
- 1700608098
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LDN
- Sex
- Female
- Sole proprietor
- No
- License
- 812680 (MS)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
3800 I-55 N Frontage Rd Ste 102
Jackson, MS 39212
Phone: (601) 200-6872
Approximate (ZIP-level) locationGet directions
Mailing address
1742 Sheffield Dr
Jackson, MS 39211-5741
Additional practice locations (1)
- 1742 Sheffield DrJackson, MS 39211-5741Phone: (601) 927-0355
Registry dates
- Enumerated
- 2024-10-28
- Last updated
- 2025-01-13
- Certified
- 2025-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.