Colleen A Jackson
Colleen A Jackson is a Nutrition Education Nutritionist in Patchogue, New York. Licensed in New York. Registered with an NPI since 2008.
- Licensed in
- NY
- In the registry since
- 2008
Practice location Address checks out
101 Hospital RdPatchogue, NY 11772-4870
Phone: (631) 654-7236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nutrition Education Nutritionist (primary) | Taxonomy 133NN1002X · Licence 004661 (NY) |
|---|
Record details
| NPI number | 1669629275 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 26, 2008 |
| Last updated in NPPES | August 26, 2008 |
| Mailing address | 101 Hospital Rd, Patchogue, NY 11772-4870 |