MEDICARE: JUSTINA JORDAN MS, RDN, LDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	DT84113	TX

General Provider Information

NPI Number	:	1518322890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTINA JORDAN MS, RDN, LDN

Provider Business Mailing Address
First Line	:	1540 W BITTERS RD APT 2722
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78248-1586
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1540 W BITTERS RD APT 2722
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78248-1586
Country	:	US
Telephone Number	:	210-992-6674
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2015
Last Update Date	:	10/04/2021

Similar Medicare Providers

1841791845 — VANESSA TUGONON CHAN M.A.
Practice Location Address:

7403 TOM KITE CT
SAN ANTONIO, TX
78244-1586

Practice Phone: 210-296-1194
Practice Fax:

1225001027 — DR. THOMAS D LEI MD
Practice Location Address:

200 JOSE FIGUERES AVE STE 230
SAN JOSE, CA
95116-1586

Practice Phone: 408-279-1186
Practice Fax: 408-926-9247

1831126689 — DR. RAJ GUPTA M.D
Practice Location Address:

200 JOSE FIGUERES AVE , STE 200
SAN JOSE, CA
95116-1586

Practice Phone: 408-347-1600
Practice Fax: 408-347-0600

1124174297 — SAN JOSE PACIFIC NEUROLOGY CNTR PROF COR
Practice Location Address:

200 JOSE FIGUERES AVE STE 200
SAN JOSE, CA
95116-1586

Practice Phone: 408-347-1600
Practice Fax: 408-347-0600

1962520478 — DR. TAM HOANG NGUYEN D.O.
Practice Location Address:

200 JOSE FIGUERES AVE STE 180
SAN JOSE, CA
95116-1586

Practice Phone: 408-258-5083
Practice Fax: 408-258-4347

1871753335 — MISS CHERYL ANNA ADAM P.T.A.
Practice Location Address:

1586 W SAN MARCOS BLVD
SAN MARCOS, CA
92078-4019

Practice Phone: 760-471-2986
Practice Fax:

Directions to “ JUSTINA JORDAN MS, RDN, LDN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.