Doctor Name: | VERNON JORDAN |
NPI Number: | 1447607999 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 74 Westminister Dr Little Rock, AR - 722092949 |
Business Phone Number: | 5014148224 |
Business Fax Number: | |
Mailing Address: | Po Box 13624, MAUMELLE |
State: | AR |
Postal Code: | 721130624 |
Phone Number: | 5014148224 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2016 |
NPI Last Update Date: | 05/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |