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

Jacqueline Odette, DTR, CDM, CFPP

Individual provider Registered Dietetic Technician · NPI 1235743006

Jacqueline Odette, DTR, CDM, CFPP is a Registered Dietetic Technician in Fairgrove, Michigan. Licensed in Michigan. Registered with an NPI since 2020.

Licensed in
MI
In the registry since
2020

Practice location Address checks out

2328 N Thomas Rd
Fairgrove, MI 48733-9569
Phone: (989) 233-2373
Show map & directions

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

Specialties & licences

Registered Dietetic Technician (primary) Taxonomy 136A00000X · Licence 86198282 (MI)

Record details

NPI number1235743006
Entity typeIndividual (Type 1)
GenderFemale
Credentials DTR , CDM , CFPP
Sole proprietorNo
NPI enumeratedAugust 31, 2020
Last updated in NPPESAugust 31, 2020
Certification dateAugust 31, 2020