| Jordan Wilson, | |
|
2075 E Flamingo Rd -southmagna, Room242, Las Vegas, NV 89119-5188 | |
| (702) 592-0069 | |
| Not Available |
| Full Name | Jordan Wilson |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 2075 E Flamingo Rd -southmagna, Room242, Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962914341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 39201-DI-0 (Nevada) | Primary |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Wilson, 6070 Burleson Ranch Rd, Las Vegas, NV 89131-3142 Ph: () - | Jordan Wilson, 2075 E Flamingo Rd -southmagna, Room242, Las Vegas, NV 89119-5188 Ph: (702) 592-0069 |
Dr. Virginia S Claudio, PHD, MNS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 S Rancho Dr, Suite 12, Las Vegas, NV 89106 Phone: 702-877-1887 Fax: 702-877-4536 | |
Ms. Dayna Lee Zarn, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9685 Phoenician Ave, Las Vegas, NV 89147 Phone: 403-601-1601 | |
Cheryl A Kapalka, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5400 S Rainbow Blvd, Las Vegas, NV 89118 Phone: 702-853-3087 | |
Mr. Dean Jeffrey Chiarelli, R.D Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1524 Pinto Ln, Las Vegas, NV 89106 Phone: 702-207-8205 Fax: 702-382-3412 | |
Lori Nicole Watson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 405-863-7068 | |
Krysten Fletcher, RD Dietitian Medicare: Medicare Enrolled Practice Location: 3532 Bella Valencia Ct, Las Vegas, NV 89141 Phone: 702-413-8035 | |
Morgan Najarro, RDN/LD, IBCLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8250 W Charleston Blvd Ste 110, Las Vegas, NV 89117 Phone: 702-764-9290 |