person
Colleen A Jackson
Nutrition Education Nutritionist in Patchogue, New York
NPI 1669629275

Colleen A Jackson is a Nutrition Education Nutritionist based in Patchogue, NY and is specialized in Nutrition, Education. Colleen A Jackson practices in Patchogue, NY. The NPI Number for Colleen A Jackson is 1669629275 and holds a License No. 004661 (New York).

The current practice location address for Colleen A Jackson is 101 Hospital Rd, Patchogue, NY and can be reached out via phone at 631-654-7236.

Location: 101 Hospital Rd, Patchogue, NY, 11772-4870
person
Provider Profile Details
NPI Number
1669629275
Provider Name
Colleen A Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 Hospital Rd, Patchogue, NY, 11772-4870
Phone Number
631-654-7236
Fax Number
Provider Enumeration Date
08/26/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 Hospital Rd
City
State
Zip
11772-4870
Phone Number
631-654-7236
Fax Number
person
Provider Business Mailing Address Details
Address
101 Hospital Rd
City
State
Zip
11772-4870
Phone Number
631-654-7236
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Nutritionist
Speciality
Nutrition, Education
Taxonomy
License No.
004661 (New York)
Definition
Definition to come...
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