Ms. Jerilyn A Jackson, RD
Dietitian, Registered in Cranston, Rhode Island
1306878079- Practice location
- 1170 Pontiac Ave, Cranston, RI 02920-7944
- Phone
- 401-895-9937
- Fax
- —
- Last updated
- October 29, 2026
Jerilyn Ann Jackson is a Dietitian, Registered based in Cranston, RI. Jerilyn Ann Jackson practices in Cranston, RI and has the professional credentials of RD. The NPI Number for Jerilyn Ann Jackson is 1306878079 and holds a License No. LDN00388 (RI). The current practice location address for Jerilyn Ann Jackson is 1170 Pontiac Ave, Cranston, RI 02920-7944 and can be reached out via phone at 401-895-9937.
Provider Profile Details
- NPI Number
- 1306878079
- Provider Name
- Jerilyn Ann Jackson
- Credential
- RD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1170 Pontiac Ave, Cranston, RI 02920-7944
- Phone Number
- 401-895-9937
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 6, 2006
- Last Update Date
- October 29, 2026
- Certification Date
- October 29, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1170 Pontiac Ave
Cranston, RI 02920-7944 - City
- Cranston
- State
- Rhode Island
- Zip
- 02920-7944
- Phone Number
- 401-895-9937
Provider Business Mailing Address Details
- Address
- 1170 Pontiac Ave Ste 100
Cranston, RI 02920-7944 - City
- Cranston
- State
- RI
- Zip
- 02920-7944
- Phone Number
- 401-343-4343
- Fax Number
- 401-296-3998
License Information
- License Number
- LDN00388
- License State
- RI
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Cranston, RI
View all Dietitian, Registered providers in Cranston →Frequently Asked Questions
What is the NPI number of Ms. Jerilyn A Jackson, RD?
The NPI number of Ms. Jerilyn A Jackson, RD is 1306878079. It was assigned on July 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Ms. Jerilyn A Jackson, RD?
Ms. Jerilyn A Jackson, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in RI under license number LDN00388.
Where does Ms. Jerilyn A Jackson, RD practice?
The practice location is 1170 Pontiac Ave, Cranston, RI 02920-7944. The office can be reached at 401-895-9937 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306878079 directly on the NPPES registry website.