Individual provider · Type 1 NPI
Jordan Lynn Boucher, RD
Registered Dietitian · Brockton, MA
Practice location
110 Liberty St Ste 2A
Brockton, MA 02301-5674
Fax (508) 565-0097
Mailing address
110 Liberty St
Brockton, MA 02301-5674
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian Primary | 133V00000X | DI 60543717 (WA) |
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 1215310669
Jordan Lynn Boucher, RD's National Provider Identifier is 1215310669, issued on Jul 2, 2015. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Brockton, MA. The record was last updated on May 4, 2020.