Individual
MRS. GABBRIELLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CNS
Contact information
Practice address
2 RIESLING TER UNIT 1, CONCORD, NH 03303-1063
(260) 417-7430
Mailing address
2 RIESLING TER UNIT 1, CONCORD, NH 03303-1063
(260) 417-7430
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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