Individual
MRS. LAUREN NICOLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
71 SHERWOOD HTS, WAPPINGERS FALLS, NY 12590-3408
(845) 518-1646
Mailing address
71 SHERWOOD HTS, WAPPINGERS FALLS, NY 12590-3408
(845) 518-1646
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/10/2017
Last updated
11/10/2017
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