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

MS. Mary Bickel Jackson, CERTIFIEDDIETITIAN

Individual provider Nutritionist · NPI 1376835298

MS. Mary Bickel Jackson, CERTIFIEDDIETITIAN is a Nutritionist in Middletown, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

33 Fulton Plz
Middletown, NY 10940
Phone: (845) 346-1300
Fax: (845) 346-1298
Show map & directions

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

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X · Licence 004474-1 (NY)

Record details

NPI number1376835298
Entity typeIndividual (Type 1)
GenderFemale
Credentials CERTIFIEDDIETITIAN
Sole proprietorYes
NPI enumeratedMay 11, 2011
Last updated in NPPESMay 11, 2011

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