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Contact Information

SHARON D JACKSON, MS RD CDE
1425 BLUE HILLS AVE
MATTAPAN COMMUNITY HEALTH CTR
MATTAPAN, MA02126
 Phone: 617-898-9052
 Fax: 617-713-3438
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for SHARON D JACKSON · (Female)

NPI # 1346311008
Status Active
Credentials MS RD CDE
Entity Individual
Enumeration date 11/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 1031
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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