Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN DENNIS, MS, RD, CSP
ActivePediatric Nutrition · BAKERSFIELD, CA
Registration Details
- NPI Number
- 1083066138
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2016 (9.7822282689588 yrs)
- Last Updated
- Jul 12, 2016
- License
-
01077120 (CA)
Practice Information
- Address
-
1700 MOUNT VERNON AVEBAKERSFIELD, CA, 933064018Browse CA providers · Browse ZIP 93306
- Phone
- 6613262000
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.