Individual provider · Type 1 NPI
Jaclyn Beaty, CWP
Nutrition Education Nutritionist · Clarksville, TN
NPI number
1417871609
Active
Practice location
1375 Ambleside Dr
Clarksville, TN 37040-8536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Education Nutritionist Primary | 133NN1002X | None listed |
Nutrition Education Nutritionist: Definition to come...
About NPI 1417871609
Jaclyn Beaty, CWP's National Provider Identifier is 1417871609, issued on Aug 8, 2026. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Clarksville, TN. The record was last updated on Aug 8, 2026.