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

Individual provider Registered Dietitian · NPI 1215563689

Michelle Jackson, MS, RD, CDN is a Registered Dietitian in Bronx, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

500 Bergen Ave
Bronx, NY 10455-4048
Phone: (718) 401-5175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 565 Morris Ave, Bronx, NY 10451-4738 — (929) 360-0906

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 003365-01 (NY)

Record details

NPI number1215563689
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , CDN
Sole proprietorYes
NPI enumeratedMarch 18, 2020
Last updated in NPPESMarch 18, 2020
Certification dateMarch 18, 2020
Mailing address207 Melbourne Ave, Mamaroneck, NY 10543-2726

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