Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHARON DENISE JACKSON, MS RD CDE
ActiveMRS. SHARON DENISE JACKSON, MS RD CDE is a Nutritionist healthcare provider located in MATTAPAN, Massachusetts. NPI 1346311008 is currently active in the NPPES registry. Verify at CMS.
Nutritionist · MATTAPAN, MA
Registration Details
- NPI Number
- 1346311008
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 13, 2006 (19.776028748841 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1031 (MA)
Practice Information
- Address
-
1425 BLUE HILLS AVEMATTAPAN COMMUNITY HEALTH CTRMATTAPAN, MA, 02126Browse MA providers · Browse ZIP 02126
- Phone
- 6178989052
- Fax
- 6177133438
- Primary Specialty
-
Nutritionist
133N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.