Individual provider · Type 1 NPI

Jordan Camille Dansereau, RDN, IBCLC

Registered Dietitian · Hayden, ID

NPI number 1992428809 Active

Practice location

8500 N Atlas Rd
Hayden, ID 83835-8332

Call (208) 415-5284 Map

Specialties and licenses

TaxonomyCodeLicense
Lactation Consultant (Non-RN) 174N00000XL-316372
Registered Dietitian Primary 133V00000X86210366

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 1992428809

Jordan Camille Dansereau, RDN, IBCLC's National Provider Identifier is 1992428809, issued on Sep 26, 2022. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Hayden, ID. The record was last updated on Jun 24, 2025.