NPI 1376246173 · live from the CMS NPI Registry
Jordan Mccoy Nutrition LLC
Dietitian, Registered in Ranchester, WY. National Provider Identifier 1376246173, active.
NPI record
| NPI | 1376246173 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 618 Heather Lane, Ranchester, WY 82839 |
| Practice phone | 307-752-7280 |
| Mailing address | Po Box 542, Dayton, WY 82836 |
| Enumerated | March 22, 2023 |
| Last updated | March 22, 2023 |
| Authorized official | Jordan Mccoy, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.