NPI 1013775519

Azzairia Jackson, RD

Practitioner Registered Dietitian Saint Paul, MN

Practice location

Address: 2081 Village Ln APT B5, Saint Paul, MN 55116-3847
Phone: (612) 735-1669

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 7808 (MN)

Other Dietitian, Registered providers in Minnesota →

Registry record

NPI: 1013775519
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Mar 2024
Record last updated: 8 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.