| Doctor Name: | MRS. JILL CHANDLER WICKREMASINGHE |
| NPI Number: | 1578864344 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RD, LD |
| License Number: | DT81401 |
| Business Practice Address: | 5111 Canyon Dr Bsa- Outpatient Therapy Services Amarillo, TX - 791103037 |
| Business Phone Number: | 8052120577 |
| Business Fax Number: | |
| Mailing Address: | 1600 Wallace Blvd, Baptist St. Anthony Health System AMARILLO |
| State: | TX |
| Postal Code: | 791061799 |
| Phone Number: | 8062120577 |
| Fax Number: | |
| NPI Enumeration Date: | 11/10/2010 |
| NPI Last Update Date: | 11/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DT81401 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |