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MS. JERILYN ANN JACKSON R.D. NPI 1306878079


NPI Information

NPI: 1306878079
Provider Name: MS. JERILYN ANN JACKSON, R.D.
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
111 BREWSTER ST
PAWTUCKET, RI
ZIP 02860
Phone: (401) 729-2360
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MS. Jerilyn Ann Jackson, R.D. is a dietitian registered in Pawtucket, RI. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. MS. Jerilyn Ann Jackson, R.D. NPI is 1306878079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

111 BREWSTER ST
PAWTUCKET, RI
ZIP 02860-400
Phone: (401) 729-2360
Fax: (401) 729-2179

The enumeration date for this NPI number is 7/6/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, RegisteredLDN00388RHODE ISLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CP00404528OTHERRHODE ISLANDBLUE CHIP
22038776OTHERRHODE ISLANDUNITED HEALTH CARE
320695-0OTHERRHODE ISLANDBLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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