TWYLA DOUGLAS JACKSON RDN CSO LD NPI 1356978340

NPI Information

NPI: 1356978340
Provider Name: TWYLA DOUGLAS JACKSON, RDN, CSO, LD
Classification: Dietitian, Registered - 133VN1301X
Specialization: Nutrition, Oncology
Entity Type: Individual
Address: CLINICAL NUTRITION
1000 JOHNSON FERRY RD NE
ATLANTA, GA
ZIP 30342
Phone: (404) 432-2916

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NPI Details

Twyla Douglas Jackson, RDN, CSO, LD is a nutrition and oncology dietitian registered in Atlanta, GA. The provider is an individual who is a Board Certified Specialist in Oncology Nutrition and provides direct nutrition care for individuals at risk for or diagnosed with cancer. RDNs working directly with individuals at risk for, or diagnosed with, any type of malignancy or pre-malignant condition, in a variety of settings (e.g. hospitals, clinics, cancer centers, hospices, public health), OR indirectly through roles in management, education, industry, and research practice linked specifically to oncology nutrition. RDN who works indirectly with oncology nutrition through roles in management, education, industry, and research. Twyla Douglas Jackson, RDN, CSO, LD NPI is 1356978340. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

CLINICAL NUTRITION
1000 JOHNSON FERRY RD NE
ATLANTA, GA
ZIP 30342
Phone: (404) 432-2916

The enumeration date for this NPI number is 3/27/2020 and was last updated on 3/27/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133VN1301X	Dietitian, Registered	Nutrition, Oncology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LD001282	OTHER	GEORGIA	STATE OF GEORGIA LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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