Jordan Camille Pratt, RDN is a
Dietitian, Registered based in Rathdrum, Idaho. Jordan Camille Pratt is licensed to practice in * (Not Available) (license number 86210366) and her current practice location is
14898 N Boxwood St, Rathdrum, Idaho. She can be reached at her office (for appointments etc.) via phone at
(509) 554-2997.
NPI number for Jordan Camille Pratt is 1992428809 and her current mailing address is 14898 N Boxwood St, Rathdrum, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992428809.
Healthcare Provider's Profile
Full Name | Jordan Camille Pratt |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 14898 N Boxwood St, Rathdrum, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992428809
- Provider Enumeration Date: 09/26/2022
- Last Update Date: 09/26/2022
Medical Identifiers
Medical identifiers for Jordan Camille Pratt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992428809 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 86210366 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Camille Pratt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jordan Camille Pratt, RDN 14898 N Boxwood St, Rathdrum, ID 83858-8235 Ph: (509) 554-2997 | Jordan Camille Pratt, RDN 14898 N Boxwood St, Rathdrum, ID 83858-8235 Ph: (509) 554-2997 |
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