Shannon Melissa Jordan in Santa Clara - Dietitian, Registered
Shannon Melissa Jordan - NPI 1770644056
Shannon Melissa Jordan is a Dietitian, Registered in Santa Clara, California. Shannon Melissa Jordan practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Shannon Melissa Jordan is 1770644056. The last update date is 2022-01-03.
Shannon Melissa Jordan's current location address is 710 Lawrence Expy, Santa Clara, California. You can contact this provider via phone number 4088512429 and fax number 4088512599. The mailing address for Shannon Melissa Jordan is 710 Lawrence Expy, Santa Clara, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Melissa Jordan |
|---|---|
| Address | 710 Lawrence Expy, Santa Clara, California |
| Phone Number | 4088512429 |
| Fax Number | 4088512599 |
| Sole Proprietor | N |
| Credentials | RD, CDE |
NPI Number Detail
| NPI Number | 1770644056 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2022-01-03 |
Provider Mailing Address Detail
| Address | 710 Lawrence Expy |
|---|---|
| City | Santa Clara |
| State | California (CA) |
| Post Code | 950515173 |
| Phone Number | 4088512429 |
| Fax Number | 4088512599 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique 10-digit identification code assigned to Shannon Melissa Jordan by the Centers for Medicare & Medicaid Services?
The Shannon Melissa Jordan has been issued the NPI (National Provider Identifier) 1770644056, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shannon Melissa Jordan's facilities are geographically located?
The facilities of Shannon Melissa Jordan are physically situated at the following location: 710 Lawrence Expy, Santa Clara, CA, 950515173.
What is Shannon Melissa Jordan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shannon Melissa Jordan is Dietitian, Registered, and the taxonomy classification code that categorizes this area of expertise is 133V00000X.
On what date was the 1770644056 assigned to Shannon Melissa Jordan?
The Shannon Melissa Jordan was issued its 1770644056 on 2006-12-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Shannon Melissa Jordan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shannon Melissa Jordan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-01-03.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN