| Doctor Name: | SUSAN A JORDAN |
| NPI Number: | 1073613709 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | REGISTERED DIETITION |
| License Number: | DT06018 |
| Business Practice Address: | 1010 South 7650 East Crow Agency, MT - 590220022 |
| Business Phone Number: | 4066383553 |
| Business Fax Number: | 4066383553 |
| Mailing Address: | Po Box 108, HARDIN |
| State: | MT |
| Postal Code: | 590340108 |
| Phone Number: | 4066383553 |
| Fax Number: | 4066383569 |
| NPI Enumeration Date: | 09/23/2006 |
| NPI Last Update Date: | 04/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DT06018 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |