Jessica Marie Brightly, RDN
Dietitian, Registered in Brockport, NY. Individual provider (NPI-1).
NPI number1295595056
StatusActive
Last updated in NPPESMar 20, 2024
Details
- NPI
- 1295595056
- Entity type
- Individual (NPI-1)
- Name
- Jessica Marie Brightly
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2024
- Certification date
- Mar 20, 2024
- Last updated
- Mar 20, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86089385 | NY | Yes |
Other names
- Jessica Marie Page (Former Name)
Practice location
108 Brook Meadows TrlBrockport, NY 14420-1247
Phone 585-281-1741
Mailing address
108 Brook Meadows TrlBrockport, NY 14420-1247
Phone 585-281-1741
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Registered Dietitian providers in Brockport, NY
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