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Individual

BRANDI JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, LDN, IBCLC

Contact information

Practice address
12620 CREEKSIDE LAKE CV, ARLINGTON, TN 38002-1521
(573) 429-8902
Mailing address
12620 CREEKSIDE LAKE CV, ARLINGTON, TN 38002-1521
(573) 429-8902

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
2588
TN
174N00000X
Lactation Consultant (Non-RN)
Primary
L-96583

Other

Enumeration date
11/19/2013
Last updated
12/09/2021
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