National Provider Identifier
Jessica Marie Brightly, RDN
Jessica Marie Brightly, RDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Brockport, NY and a listed phone number of (585) 281-1741.
Profile Overview
- NPI
- 1295595056
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- March 20, 2024
- Last Updated
- March 20, 2024
Practice Location
- 108 Brook Meadows Trl
- Brockport, NY 14420-1247
Phone: (585) 281-1741
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1295595056
- Entity Type
- Individual
- Last Name
- Brightly
- First Name
- Jessica
- Middle Name
- Marie
- Credential
- RDN
- Provider Other Last Name
- Page
- Provider Other First Name
- Jessica
- Provider Other Middle Name
- Marie
- Provider Other Credential Text
- RDN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 108 Brook Meadows Trl
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1247
- Mailing Country
- US
- Mailing Phone
- (585) 281-1741
- Practice Street Address
- 108 Brook Meadows Trl
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1247
- Practice Country
- US
- Practice Phone
- (585) 281-1741
- Enumeration Date
- March 20, 2024
- Last Updated
- March 20, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 20, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)