Individual provider · Type 1 NPI
Jacqueline Odette, DTR, CDM, CFPP
Registered Dietetic Technician · Fairgrove, MI
Practice location
2328 N Thomas Rd
Fairgrove, MI 48733-9569
Mailing address
1285 Cleaver Rd
Caro, MI 48723-9241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietetic Technician Primary | 136A00000X | 86198282 (MI) |
Registered Dietetic Technician: A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associate's degree or higher and successfully complete a sliding set of academic, examination, and practice requirements accredited by the Accreditation Council for Education i…
About NPI 1235743006
Jacqueline Odette, DTR, CDM, CFPP's National Provider Identifier is 1235743006, issued on Aug 31, 2020. The primary taxonomy on file is Registered Dietetic Technician (136A00000X), and the practice location is in Fairgrove, MI. The record was last updated on Aug 31, 2020.