Individual
JORDAN WENDOLYN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
15728 PAUL VEGA MD DR, HAMMOND, LA 70403-1434
(985) 542-5000
(985) 542-1138
Mailing address
5215 ESSEN LN STE 200, BATON ROUGE, LA 70809-3543
(225) 767-0847
(885) 767-1335
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3408
LA
133V00000X
Registered Dietitian
D-2466
MS
Other
Enumeration date
08/09/2024
Last updated
08/20/2024
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