IndividualActive
Michelle Jackson, R. D.
NPI 1275724718 · Renal Nutrition Registered Dietitian · Lihue, HI
Provider details
- NPI number
- 1275724718
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- R. D.
- Sex
- Female
- Sole proprietor
- No
- License
- RD-884886 (HI)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
3224 Elua St
Lihue, HI 96766-1213
Phone: (808) 245-3770
Fax: (808) 245-2390
Approximate (ZIP-level) locationGet directions
Mailing address
2226 Liliha St
Honolulu, HI 96817-1600
Registry dates
- Enumerated
- 2007-08-08
- Last updated
- 2007-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.