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Contact Information

BRANDI JORDAN, MS, RD, LDN, IBCLC
12620 CREEKSIDE LAKE CV
ARLINGTON, TN38002-1521
 Phone: 573-429-8902
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Lactation Consultant, Non-RN

174N00000X
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for BRANDI JORDAN · (Female)

NPI # 1144650623
Status Active
Credentials MS, RD, LDN, IBCLC
Entity Individual
Enumeration date 11/19/2013
Last updated 12/09/2021 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • License # L-96583
  • TN License # 2588
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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