Jacquelyn Renee Worthington in Champaign - Dietitian, Registered

Jacquelyn Renee Worthington - NPI 1881708758

Jacquelyn Renee Worthington is a Dietitian, Registered in Champaign, Illinois. Jacquelyn Renee Worthington practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Jacquelyn Renee Worthington is 1881708758. The last update date is 2007-07-08.

Jacquelyn Renee Worthington's current location address is 3014 Ladue Dr, Champaign, Illinois. You can contact this provider via phone number 2175544528. The mailing address for Jacquelyn Renee Worthington is 3014 Ladue Dr, Champaign, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacquelyn Renee Worthington
Address 3014 Ladue Dr, Champaign, Illinois
Phone Number 2175544528
Fax Number
Sole Proprietor N
Credentials RD, LD, CD

NPI Number Detail

NPI Number 1881708758
Provider Enumeration Date 2006-08-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3014 Ladue Dr
City Champaign
State Illinois (IL)
Post Code 618222305
Phone Number 2175544528
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

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FAQs about Jacquelyn Renee Worthington

What is the unique provider identifier assigned to Jacquelyn Renee Worthington?

The Jacquelyn Renee Worthington has been issued the NPI (National Provider Identifier) 1881708758 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Jacquelyn Renee Worthington is physically located?

The Jacquelyn Renee Worthington is physically situated at the following address: 3014 Ladue Dr, Champaign, IL, 618222305.

What is Jacquelyn Renee Worthington's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jacquelyn Renee Worthington's specialized field of practice is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of specialization is 133V00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1881708758 to Jacquelyn Renee Worthington?

The Centers for Medicare & Medicaid Services originally issued the 1881708758 to Jacquelyn Renee Worthington on 2006-08-18.

As of what date was the information pertaining to Jacquelyn Renee Worthington, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jacquelyn Renee Worthington, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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