Debbie Cherrie Jackson, RD
Individual provider Active NPI Registered Dietitian · Marcellus, MI
NPI 1184496952 · NPPES record last updated Oct 25, 2023
Key facts
- NPI
- 1184496952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 890322 (MI)
- Practice address
- 11096 Cranberry St
Marcellus, MI 49067-9484 - Phone
- (269) 718-8704
- NPI assigned
- Oct 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 890322 | MI | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 890322 | MI | Yes |
Addresses
Primary practice location
11096 Cranberry St
Marcellus, MI 49067-9484
Mailing address
11096 Cranberry St
Marcellus, MI 49067-9484
Phone (269) 718-8704
Other providers in Marcellus, MI
- Aspincare LLC
- Best of Care Home Care L.L.C.
- Jeannie Colley
- Lauren Jane Erndteman
- Bruce Albert Heustis
- Marcellus Area Emergency Services Association
- Marcellus Market Inc.
- Janice Parmeter
- Mallory Nicole Schrock
- Karly J Simpson
All providers in Marcellus, MI · Registered Dietitian in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.