Individual provider · NPI-1

Jillian E Hurt

Dietitian, Registered · Mattoon, IL

NPI number1538914767
StatusActive
Last updated in NPPESApr 22, 2024

Details

NPI
1538914767
Entity type
Individual (NPI-1)
Name
Jillian E Hurt
Sex
Female
Sole proprietor
No
Enumeration date
Apr 22, 2024
Certification date
Apr 21, 2024
Last updated
Apr 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes

Practice location

1012 S 13th St
Mattoon, IL 61938-5710

Phone 217-821-3844

Mailing address

1012 S 13th St
Mattoon, IL 61938-5710

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