Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLEN LOUISE HICKERSON, RD/LD
Active Sole ProprietorELLEN LOUISE HICKERSON, RD/LD is a Registered Dietitian healthcare provider located in JONES, Oklahoma. NPI 1740516350 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · JONES, OK
Registration Details
- NPI Number
- 1740516350
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 2, 2009 (16.761631361886 yrs)
- Last Updated
- Nov 2, 2009
- License
-
850 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7800 BOB WHITE TRLJONES, OK, 730493424Browse OK providers · Browse ZIP 73049
- Phone
- 4057713936
- Fax
- 4057713936
- 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.