Individual provider · Type 1 NPI

Jordan Dailey Hicks, MS, RDN, LDN

Pediatric Nutrition Registered Dietitian · Winston Salem, NC

NPI number 1245956531 Active

Practice location

1 Medical Center Blvd
Winston Salem, NC 27157-2797

Mailing address

5770 Midstream Cir
Clemmons, NC 27012-9691

Other practice locations

  • 1199 Prince Ave, Athens, GA 30606-2797 · (706) 475-7000

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004XNone listed

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

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About NPI 1245956531

Jordan Dailey Hicks, MS, RDN, LDN's National Provider Identifier is 1245956531, issued on Oct 18, 2022. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Winston Salem, NC. The record was last updated on Oct 18, 2022.