Search › New York › 133V00000X
Michelle Jackson, MS, RD, CDN
NPI 1215563689 · on the registry since 2020 · sole proprietor
Practice
- Address
- 500 Bergen Ave
Bronx, NY 10455 - Phone
- (718) 401-5175
- Clinicians at this address
- 19
Additional practice sites
- 565 Morris Ave, Bronx, NY
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-03-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York