Individual
MS. JILL ELISE HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
761 MAIN AVE STE 200, NORWALK, CT 06851-1080
(203) 750-7400
Mailing address
761 MAIN AVE STE 200, NORWALK, CT 06851-1080
(203) 750-7400
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164.004604
IL
133V00000X
Registered Dietitian
Primary
59.001450
CT
133V00000X
Registered Dietitian
ND 5374
FL
Other
Enumeration date
02/17/2007
Last updated
03/29/2021
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