NPI 1275724718 · live from the CMS NPI Registry
Michelle Leigh Jackson, R. D.
Dietitian, Registered, Nutrition, Renal in Lihue, HI. National Provider Identifier 1275724718, active.
NPI record
| NPI | 1275724718 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered, Nutrition, Renal 133VN1005X |
| Practice location | 3224 Elua St, Lihue, HI 96766 |
| Practice phone | 808-245-3770 |
| Mailing address | 2226 Liliha St, Suite 226, Honolulu, HI 96817 |
| Enumerated | August 8, 2007 |
| Last updated | August 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered, Nutrition, Renal primary | 133VN1005X | RD-884886 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.