Individual
JORDAN JENNEWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CSSD
Contact information
Practice address
14455 CLAY TERRACE BLVD STE A&B, CARMEL, IN 46032-3605
(937) 344-3814
Mailing address
3165 DAYTON XENIA RD, BEAVERCREEK, OH 45434-6309
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.08304
OH
Other
Enumeration date
09/05/2017
Last updated
06/15/2022
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