Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack D Tallman Sr., RD

Individual provider Registered Dietitian · NPI 1609194190

Jack D Tallman Sr., RD is a Registered Dietitian in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2010.

Licensed in
MI
In the registry since
2010
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

1200 N West Ave Ste 300
Jackson, MI 49202-2179
Phone: (517) 789-1234
Fax: (517) 784-7040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 807299 (MI)

Record details

NPI number1609194190
Entity typeIndividual (Type 1)
GenderMale
Credentials RD
Sole proprietorNo
NPI enumeratedMay 10, 2010
Last updated in NPPESMay 10, 2010
Mailing address1200 N West Ave, Suite 300, Jackson, MI 49202-2179

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