Provider Demographics
NPI:1386153989
Name:RINCKER, JAMIE C (RDN)
Entity type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:C
Last Name:RINCKER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2917 WELCOME DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-5555
Mailing Address - Country:US
Mailing Address - Phone:919-237-9676
Mailing Address - Fax:
Practice Address - Street 1:2917 WELCOME DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-5555
Practice Address - Country:US
Practice Address - Phone:919-237-9676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-26
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86015153133V00000X
NCL004648133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered