IndividualActive
Jordan Hicks, MS, RDN, LDN
NPI 1245956531 · Pediatric Nutrition Registered Dietitian · Winston Salem, NC
Provider details
- NPI number
- 1245956531
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RDN, LDN
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1 Medical Center Blvd
Winston Salem, NC 27157-2797
Phone: (336) 713-4500
Approximate (ZIP-level) locationGet directions
Mailing address
5770 Midstream Cir
Clemmons, NC 27012-9691
Additional practice locations (1)
- 1199 Prince AveAthens, GA 30606-2797Phone: (706) 475-7000
Registry dates
- Enumerated
- 2022-10-18
- Last updated
- 2022-10-18
- Certified
- 2022-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.