Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JORDAN CAMILLE KIVRAK, RN, MSN
Active Sole ProprietorMRS. JORDAN CAMILLE KIVRAK, RN, MSN is a Nutrition Support Nurse healthcare provider located in FENTON, Missouri. NPI 1235929480 is currently active in the NPPES registry. Verify at CMS.
Nutrition Support Nurse · FENTON, MO
Registration Details
- NPI Number
- 1235929480
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 10, 2025 (1.2213321493522 yrs)
- Last Updated
- May 20, 2025
- License
-
2014019831 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
216 STONE VIEW CTFENTON, MO, 630265108Browse MO providers · Browse ZIP 63026
- Phone
- 5733001399
- Fax
- 5733001399
- Primary Specialty
-
Nutrition Support Nurse
163WN1003X
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.