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Contact Information

KRISTA M JORDAN, RD
5955 ZEAMER AVENUE
3RD MDG/WIC OFFICE
ELMENDORF AFB, AK99506
 Phone: 907-580-3205
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for KRISTA M JORDAN · (Female)

NPI # 1083806640
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 08/16/2007
Last updated 08/16/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 130
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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