Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN SHERADEN
Active Sole ProprietorJORDAN SHERADEN is a Registered Dietitian healthcare provider located in DECATUR, Illinois. NPI 1902298318 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · DECATUR, IL
Registration Details
- NPI Number
- 1902298318
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2015 (11.447787213627 yrs)
- Last Updated
- Feb 22, 2015
- License
-
164.005628 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1800 E LAKE SHORE DRDECATUR, IL, 625213810Browse IL providers · Browse ZIP 62521
- Phone
- 2174645241
- Fax
- 2174641647
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in DECATUR, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. MARIE T STAUDER | RN, LAPN, CDE | 1811930035 |
| MRS. TINA ANN CLONEY | RD, LDN, CDE | 1548203763 |
| CHRISTINE W CUTLER | MS RD LD/N | 1013090521 |
| MRS. DEBBIE J DILLEY | MS RD LDN | 1104909621 |
| MS. MONICA L NYMAN | MS RD LD IN | 1831272343 |
| MS. LYNN M SCHINDLBECK | RD LD/N | 1477636983 |
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.