Individual provider · Type 1 NPI

Jordan Domenick, RD

Registered Dietitian · Fort Stewart, GA

NPI number 1053988477 Active

Practice location

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Specialties and licenses

Taxonomy	Code	License
Registered Dietitian	133V00000X	4237 (MN)
Registered Dietitian Primary	133V00000X	2022036290 (MO)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1053988477

Jordan Domenick, RD's National Provider Identifier is 1053988477, issued on Jun 4, 2021. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Fort Stewart, GA. The record was last updated on Dec 28, 2023.