NPI 1790533743

Priscilla Earline Jackson, NMD

Practitioner Naturopath Lombard, IL

Practice location

Address: 2720 S Highland Ave APT 501, Lombard, IL 60148-5368
Phone: (630) 741-2846

Registered specialties (2)

Naturopath Primary

Other Service Providers Taxonomy 175F00000X Licence 1130 (MN)

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Nutritionist

Dietary & Nutritional Service Providers Taxonomy 133N00000X

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Registry record

NPI: 1790533743
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 May 2024
Record last updated: 7 May 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.