Organization · Type 2 NPI

Optimal Edge Nutrition By Jackie LLC

Registered Dietitian · Glenmoore, PA

NPI number 1811860299 Active

Practice location

275 Styer Rd
Glenmoore, PA 19343-2011

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1811860299

Optimal Edge Nutrition By Jackie LLC's National Provider Identifier is 1811860299, issued on Sep 24, 2025. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Glenmoore, PA. The record was last updated on Sep 24, 2025.