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COLLEEN A JACKSON
NPI 1669629275
Nutritionist - Nutrition, Education in Patchogue, NY

Active since August 26, 2008
101 HOSPITAL RD, PATCHOGUE, NY 11772(631) 654-7236 Get Directions Write a Review

NPPES record last updated: August 26, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Colleen A Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLEEN A JACKSON (NPI 1669629275) is an individual nutrition, education provider in Patchogue, New York, licensed in New York (004661) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1669629275
Entity TypeIndividualFemale
Primary Taxonomy133NN1002X
Provider Legal NameCOLLEEN A JACKSON
Location Address101 HOSPITAL RDPatchogue, NY 11772-4870
Mailing Address101 Hospital RdPatchogue, NY 11772-4870
Phone(631) 654-7236
Sole ProprietorNo
Enumeration DateAugust 26, 2008
✔ NPI 1669629275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
License✔ Licensed in NY · 004661
101 HOSPITAL RD, Patchogue, NY 11772
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VAISHALI MEHTA MD
Internal Medicine (Critical Care Medicine)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7100
COURTNEY BOFINGER PA
Physician Assistant
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7100
TAHA A SIDDIQUI MD
Internal Medicine
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 473-1320
NYU LANGONE HOSPITALS
Clinic/Center (Mental Health (Including Community Mental Health Center))
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7175
ANNETTE POPE-MORRIS PA
Physician Assistant (Medical)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7100
CARLOS KIM
Student in an Organized Health Care Education/Training Program
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7170
MEAGHAN CHOU PA-C
Physician Assistant
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7100
AUSTIN DANIEL BUDHRAM PA-C
Physician Assistant (Medical)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colleen Jackson's NPI number?

The NPI number for Colleen Jackson is 1669629275. It was assigned to this individual provider in the NPPES registry on August 26, 2008.

Where is Colleen Jackson located?

Colleen Jackson practices at 101 Hospital Rd, Patchogue, NY 11772. The listed phone number is (631) 654-7236.

What is Colleen Jackson's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

When was this NPI record last updated?

The NPPES record for Colleen Jackson was last updated on August 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.