Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Mary Bickel Jackson, CERTIFIEDDIETITIAN

Individual provider Nutritionist · NPI 1376835298

MS. Mary Bickel Jackson, CERTIFIEDDIETITIAN is a Nutritionist in Middletown, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

33 Fulton Plz
Middletown, NY 10940 Not confirmed with CMS for 15 years — call before visiting
Phone: (845) 346-1300
Fax: (845) 346-1298
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X · Licence 004474-1 (NY)

Record details

NPI number1376835298
Entity typeIndividual (Type 1)
GenderFemale
Credentials CERTIFIEDDIETITIAN
Sole proprietorYes
NPI enumeratedMay 11, 2011
Last updated in NPPESMay 11, 2011

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