Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. PENNI JO HICKS-BLUE, R.D., L.D.N.
Active Sole ProprietorMRS. PENNI JO HICKS-BLUE, R.D., L.D.N. is a Registered Dietitian healthcare provider located in SANDWICH, Illinois. NPI 1093908881 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · SANDWICH, IL
Registration Details
- NPI Number
- 1093908881
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 24, 2007 (18.951589927421 yrs)
- Last Updated
- Aug 24, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
11 E PLEASANT AVESANDWICH, IL, 605481100Browse IL providers · Browse ZIP 60548
- Phone
- 8157863719
- Primary Specialty
-
Registered Dietitian
133V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.