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

Priscilla Earline Jackson, NMD

Individual provider Nutritionist · NPI 1790533743

Priscilla Earline Jackson, NMD is a Nutritionist in Lombard, Illinois. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2024
Specialties on file
2

Practice location Address checks out

2720 S Highland Ave Apt 501
Lombard, IL 60148-5368
Phone: (630) 741-2846
Show map & directions

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

Specialties & licences

Naturopath (primary) Taxonomy 175F00000X · Licence 1130 (MN)
Nutritionist Taxonomy 133N00000X

Record details

NPI number1790533743
Entity typeIndividual (Type 1)
GenderFemale
Credentials NMD
Sole proprietorYes
NPI enumeratedMay 7, 2024
Last updated in NPPESMay 7, 2024
Certification dateMay 6, 2024
Mailing address2720 S Highland Ave Apt 501, Lombard, IL 60148-5368