Wellformed AI

NPI 1518650993 · live from the CMS NPI Registry

Jordan Ball, MS, RD, LDN

Dietitian, Registered in Boston, MA. National Provider Identifier 1518650993, active.

NPI record

NPI1518650993 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location380 Bunker Hill St, Boston, MA 02129
Practice phone774-262-7472
EnumeratedMay 31, 2023
Last updatedMay 31, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000XLDN6633 (MA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.