Individual
BRANDI JORDAN
Active
Individual
BRANDI JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, IBCLC
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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