Individual
JAMIE HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
420 NE GLEN OAK AVE STE 201, PEORIA, IL 61603-3112
(309) 624-8130
Mailing address
420 NE GLEN OAK AVE STE 201, PEORIA, IL 61603-3112
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164011857
IL
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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