Individual provider · Type 1 NPI

Jacqueline Odette, DTR, CDM, CFPP

Registered Dietetic Technician · Fairgrove, MI

NPI number 1235743006 Active

Practice location

2328 N Thomas Rd
Fairgrove, MI 48733-9569

Mailing address

1285 Cleaver Rd
Caro, MI 48723-9241

Specialties and licenses

TaxonomyCodeLicense
Registered Dietetic Technician Primary 136A00000X86198282 (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.