Crystal Hansel-Jackson, RDN
Dietitian, Registered in Yukon, OK. Individual provider (NPI-1).
NPI number1003772625
StatusActive
Last updated in NPPESDec 29, 2025
Details
- NPI
- 1003772625
- Entity type
- Individual (NPI-1)
- Name
- Crystal Hansel-Jackson
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2025
- Certification date
- Dec 28, 2025
- Last updated
- Dec 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
908 Preston Park DrYukon, OK 73099-2152
Phone 714-699-0860
Mailing address
908 Preston Park DrYukon, OK 73099-2152
Phone 714-699-0860
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