MS. JERILYN JACKSON, R.D.

Dietitian, Registered

Active Individual
NPI: 1306878079

Practice Address

111 BREWSTER ST
Pawtucket, RI 02860

Phone: (401) 729-2360

Specialties

Specialty Code Primary License
Dietitian, Registered 133V00000X Yes LDN00388 (RI)

Frequently Asked Questions

NPI 1306878079 is the National Provider Identifier for MS. JERILYN JACKSON, R.D., a Dietitian, Registered provider located in Pawtucket, RI. This NPI was enumerated on July 6, 2006.
MS. JERILYN JACKSON, R.D. practices at 111 BREWSTER ST, Pawtucket, RI 02860.

Quick Facts

NPI
1306878079
Type
Individual
Enumerated
Jul 6, 2006
Last Updated
Jul 8, 2007

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