Jordan Kivrak, RN, MSN

Individual Active
NPI 1235929480
Nutrition Support Registered Nurse Fenton, MO

Jordan Kivrak, RN, MSN is a nutrition support registered nurse practicing in Fenton, MO. The NPI was issued on May 10, 2025, and the record was last updated in NPPES on May 20, 2025.

Taxonomies and licenses

TaxonomyCodeLicense
Nutrition Support Registered Nurse Primary 163WN1003X 2014019831 (MO)

Practice location

216 Stone View Ct
Fenton, MO 63026-5108
Phone: (573) 300-1399

Local context

Active NPPES records list 1 provider with nutrition support registered nurse as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 3 in Missouri and 125 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mrs. Jordan Camille Kivrak
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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