Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Nutrition Services, LLC

Organization Registered Dietitian · NPI 1295686616

Southern Nutrition Services, LLC is a Registered Dietitian in Jackson, Mississippi. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

406 Briarwood Dr Ste 402
Jackson, MS 39206-3063
Phone: (601) 691-4857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1295686616
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyskie Bolton — Director · (601) 691-4857
NPI enumeratedFebruary 4, 2026
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 3, 2026
Mailing address406 Briarwood Dr Ste 402, Jackson, MS 39206-3063

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