Jordan, Raeanne Kathleen

Jordan, Raeanne Kathleen is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-9800. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Jordan, Raeanne Kathleen can be contacted via phone (570) 214-6452.

Contact Information

Primary practice address
100 N Academy Ave Danville PA 17822-9800
Phone: (570) 214-6452
Fax: (570) 271-7805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN007729 Pennsylvania

Profile Details

NPI number 1255071080
LBN Legal business name Jordan, Raeanne Kathleen
Credentials RDN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2022
Last updated May 17th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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