Individual provider · Type 1 NPI
Colleen A. Jackson
Nutrition Education Nutritionist · Patchogue, NY
NPI number
1669629275
Active
Practice location
101 Hospital Rd
Patchogue, NY 11772-4870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Education Nutritionist Primary | 133NN1002X | 004661 (NY) |
Nutrition Education Nutritionist: Definition to come...
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About NPI 1669629275
Colleen A. Jackson's National Provider Identifier is 1669629275, issued on Aug 26, 2008. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Patchogue, NY. The record was last updated on Aug 26, 2008.