| Doctor Name: | MRS. JILL ELISE HICKEY |
| NPI Number: | 1538203062 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, CNSD, LDN |
| License Number: | 164.004604 |
| Business Practice Address: | 1350 E Sunrise Blvd Suite 127 Ft Lauderdale, FL - 333042807 |
| Business Phone Number: | 9546362388 |
| Business Fax Number: | |
| Mailing Address: | 1040 Seminole Dr, Apt 357 FT LAUDERDALE |
| State: | FL |
| Postal Code: | 333043232 |
| Phone Number: | 2035266944 |
| Fax Number: | |
| NPI Enumeration Date: | 02/17/2007 |
| NPI Last Update Date: | 11/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 164.004604 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |