NPI 1083806640

Krista M Jordan, RD

Practitioner Registered Dietitian Elmendorf Afb, AK

Practice location

Address: 5955 Zeamer Avenue 3rd Mdg/Wic Office, Elmendorf Afb, AK 99506
Phone: (907) 580-3205

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 130 (AK)

Other Dietitian, Registered providers in Alaska →

Registry record

NPI: 1083806640
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Aug 2007
Record last updated: 16 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.