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Jacquelyn Renee Worthington, RD, LD, CDE

Dietitian, Registered in Danville, IL. Individual provider (NPI-1).

NPI number1881708758
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1881708758
Entity type
Individual (NPI-1)
Name
Jacquelyn Renee Worthington
Credential
RD, LD, CDE
Sex
Female
Sole proprietor
No
Enumeration date
Aug 18, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered164.001440ILYes

Practice location

1900 East Main Street
Nutrition And Food Service (120)
Danville, IL 61832-5198

Phone 217-554-4528

Mailing address

3014 Ladue Dr
Champaign, IL 61822-2305

Phone 217-554-4528

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