Mrs. Sharon D Jackson, MS RD CDE
Nutritionist in Mattapan, Massachusetts
1346311008- Practice location
- 1425 Blue Hills Ave, Mattapan Community Health Ctr, Mattapan, MA 02126
- Phone
- 617-898-9052
- Fax
- 617-713-3438
- Last updated
- July 8, 2007
Sharon Denise Jackson is a Nutritionist based in Mattapan, MA. Sharon Denise Jackson practices in Mattapan, MA and has the professional credentials of MS RD CDE. The NPI Number for Sharon Denise Jackson is 1346311008 and holds a License No. 1031 (MA). The current practice location address for Sharon Denise Jackson is 1425 Blue Hills Ave, Mattapan Community Health Ctr, Mattapan, MA 02126 and can be reached out via phone at 617-898-9052 and via fax at 617-713-3438.
Provider Profile Details
- NPI Number
- 1346311008
- Provider Name
- Sharon Denise Jackson
- Credential
- MS RD CDE
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1425 Blue Hills Ave, Mattapan Community Health Ctr, Mattapan, MA 02126
- Phone Number
- 617-898-9052
- Fax Number
- 617-713-3438
- Primary Taxonomy
- Nutritionist · 133N00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 13, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1425 Blue Hills Ave
Mattapan Community Health Ctr
Mattapan, MA 02126 - City
- Mattapan
- State
- Massachusetts
- Zip
- 02126
- Phone Number
- 617-898-9052
- Fax Number
- 617-713-3438
Provider Business Mailing Address Details
- Address
- 6 Newcroft Circle
Mattapan, MA 02126 - City
- Mattapan
- State
- MA
- Zip
- 02126
- Phone Number
- 617-296-3987
- Fax Number
- 617-713-3438
License Information
- License Number
- 1031
- License State
- MA
- Taxonomy
- Nutritionist · 133N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Sharon D Jackson, MS RD CDE?
The NPI number of Mrs. Sharon D Jackson, MS RD CDE is 1346311008. It was assigned on November 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Mrs. Sharon D Jackson, MS RD CDE?
Mrs. Sharon D Jackson, MS RD CDE is registered under the primary taxonomy Nutritionist (code 133N00000X), licensed in MA under license number 1031.
Where does Mrs. Sharon D Jackson, MS RD CDE practice?
The practice location is 1425 Blue Hills Ave, Mattapan Community Health Ctr, Mattapan, MA 02126. The office can be reached at 617-898-9052 (phone) or 617-713-3438 (fax).
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 1346311008 directly on the NPPES registry website.