Jordan Elizabeth Park, RD,LD is a
Dietitian, Registered based in Crowley, Texas. Jordan Elizabeth Park is licensed to practice in Texas (license number DT93324) and her current practice location is
10805 W Cleburne Rd, Crowley, Texas. She can be reached at her office (for appointments etc.) via phone at
(225) 435-8360.
NPI number for Jordan Elizabeth Park is 1538082003 and her current mailing address is 10805 W Cleburne Rd, Crowley, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538082003.
Healthcare Provider's Profile
| Full Name | Jordan Elizabeth Park |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 10805 W Cleburne Rd, Crowley, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538082003
- Provider Enumeration Date: 08/03/2026
- Last Update Date: 08/03/2026
Medical Identifiers
Medical identifiers for Jordan Elizabeth Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1538082003 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | DT93324 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Elizabeth Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jordan Elizabeth Park, RD,LD 10805 W Cleburne Rd, Crowley, TX 76036-9429 Ph: Not Available | Jordan Elizabeth Park, RD,LD 10805 W Cleburne Rd, Crowley, TX 76036-9429 Ph: (225) 435-8360 |
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