Jordan McCoy Nutrition LLC

Organization Active NPI Registered Dietitian · Ranchester, WY

NPI 1376246173 · NPPES record last updated Mar 22, 2023

Key facts

NPI
1376246173
Entity type
Organization (NPI type 2)
Primary specialty
Registered Dietitian 133V00000X
Legal business name
JORDAN MCCOY NUTRITION LLC
Practice address
618 Heather Lane
Ranchester, WY 82839
Phone
(307) 752-7280
NPI assigned
Mar 22, 2023
Organization subpart
No

Authorized official

Name
Jordan McCoy, MS, RD, RDN, CDCES
Title
Owner
Phone
(307) 752-7280

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian
Group: 193400000X SINGLE SPECIALTY GROUP
133V00000X Yes

Addresses

Primary practice location

618 Heather Lane
Ranchester, WY 82839

Mailing address

PO Box 542
Dayton, WY 82836-0542
Phone (307) 752-7280

Other providers in Ranchester, WY

All providers in Ranchester, WY · Registered Dietitian in Wyoming

Sources for this page

Verify at the official NPI Registry.