Provider Demographics
NPI:1447875893
Name:HOWARD, JADEN NICHOLE (MS, RDN, LD)
Entity type:Individual
Prefix:
First Name:JADEN
Middle Name:NICHOLE
Last Name:HOWARD
Suffix:
Gender:
Credentials:MS, RDN, LD
Other - Prefix:
Other - First Name:JADEN
Other - Middle Name:NIKKI
Other - Last Name:TABAT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, RDN, LD
Mailing Address - Street 1:400 SHADOW CREEK DR UNIT 400
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-6227
Mailing Address - Country:US
Mailing Address - Phone:662-607-6807
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1226
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36533-1226
Practice Address - Country:US
Practice Address - Phone:205-218-8862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-11
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS86112685133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered