Shawna Jo Wilson, RDN, LD
Shawna Jo Wilson, RDN, LD is a Registered Dietitian OR Nutrition Professional in Lewisport, Kentucky. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Kentucky.
- Years since qualifying
- 4
- Licensed in
- KY
- In the registry since
- 2021
What do these letters mean?
Practice location Address checks out
2175 John Pate RdLewisport, KY 42351-7021
Phone: (270) 922-0890
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Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 265609 (KY) |
|---|
Record details
| NPI number | 1639755721 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RDN , LD |
| Sole proprietor | Yes |
| NPI enumerated | March 20, 2021 |
| Last updated in NPPES | July 31, 2024 |
| Certification date | July 31, 2024 |
| Mailing address | 2175 John Pate Rd, Lewisport, KY 42351-7021 |
Medicare enrollment
| Medicare specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Lewisport
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Mrs. Cassandra Kay Payne-Durbin, RD
1520 4th St, Lewisport, KY 42351-2529 · (270) 922-8098
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Shawna Wilson Nutrition
2175 John Pate Rd, Lewisport, KY 42351-7021 · (270) 922-0890