Individual
MRS. JAIMEE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, CDCES, CD
Contact information
Practice address
1 PERSNICKETY PL, PLYMOUTH, WI 53073-3544
(920) 892-3468
Mailing address
1 PERSNICKETY PL, PLYMOUTH, WI 53073-3544
(920) 892-3468
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1046746
WI
133V00000X
Registered Dietitian
Primary
2415-29
WI
Other
Enumeration date
12/21/2011
Last updated
02/21/2025
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