Individual
ONNIE BISHOP JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
145 11TH AVE NE, ST PETERSBURG, FL 33701-1823
(678) 478-1696
Mailing address
145 11TH AVE NE, ST PETERSBURG, FL 33701-1823
(678) 478-1696
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND7278
FL
133VN1005X
Renal Nutrition Registered Dietitian
ND7278
FL
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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