IndividualActive
Derek Ebbers
NPI 1972129856 · Sports Dietetics Nutrition Registered Dietitian · Brookhaven, MS
Provider details
- NPI number
- 1972129856
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Practice location
2154 Warren Rd Se
Brookhaven, MS 39601-9587
Phone: (601) 754-0530
Approximate (ZIP-level) locationGet directions
Mailing address
2154 Warren Rd Se
Brookhaven, MS 39601-9587
Registry dates
- Enumerated
- 2020-06-17
- Last updated
- 2020-06-17
- Certified
- 2020-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.