Jackson, Angella

Jackson, Angella is an sole proprietor health care provider with primary practice located at 85 Summit St , Monroe NY 10950-2503. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Jackson, Angella can be contacted via phone (914) 563-4785.

Contact Information

Primary practice address
85 Summit St Monroe NY 10950-2503
Phone: (914) 563-4785
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 817058
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 817058 New Jersey

Profile Details

NPI number 1881190122
LBN Legal business name Jackson, Angella
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2018
Last updated Apr 4th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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