IndividualActive
Jerilyn Jackson, R.D.
NPI 1306878079 · Registered Dietitian · Pawtucket, RI
Jerilyn Jackson, R.D. is a Registered Dietitian provider in Pawtucket, RI (NPI 1306878079).
Provider details
- NPI number
- 1306878079
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- R.D.
- Sex
- Female
- Sole proprietor
- No
- License
- LDN00388 (RI)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 Brewster St
Pawtucket, RI 02860-4400
Phone: (401) 729-2360
Fax: (401) 729-2179
Street-level locationGet directions
Mailing address
111 Brewster St
Pawtucket, RI 02860-4400
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jerilyn Jackson's NPI number?
- Jerilyn Jackson's National Provider Identifier (NPI) is 1306878079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerilyn Jackson's specialty?
- Jerilyn Jackson is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Jerilyn Jackson located?
- Jerilyn Jackson's practice location on file with NPPES is 111 Brewster St, Pawtucket, RI 02860-4400.
- What is Jerilyn Jackson's phone number?
- The practice phone number listed in the NPPES registry for Jerilyn Jackson is (401) 729-2360.
- Is Jerilyn Jackson's NPI active?
- Yes — Jerilyn Jackson's NPI (1306878079) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.