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Individual

JORDAN SCHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RDN, LDN

Contact information

Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-3058
Mailing address
603 MILLER ST, WINSTON SALEM, NC 27103-3612
(336) 416-9653

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005229
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86082013
COMMISION ON DIETETICS REGISTRATION
01
L005229
NORTH CAROLINA BOARD OF DIETETICS/NUTRITION
NC
Enumeration date
06/06/2019
Last updated
11/27/2023
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