Healthcare Provider Details

I. General information

NPI: 1497669899
Provider Name (Legal Business Name): JACQUELINE CLEMENT REILLY-DIXON ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JACQUELINE CLEMENT REILLY

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4923 US ROUTE 5
WESTMINSTER VT
05158-9651
US

IV. Provider business mailing address

887 UNDER THE MOUNTAIN RD
SOUTH LONDONDERRY VT
05155-9333
US

V. Phone/Fax

Practice location:
  • Phone: 802-722-4023
  • Fax: 802-307-0275
Mailing address:
  • Phone: 617-894-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: