Jordan Stilmock, RD, CLC, LMNT is a
Dietitian, Registered based in Blair, Nebraska. Jordan Stilmock is licensed to practice in Nebraska (license number 86033344) and her current practice location is
810 N 22nd St, Blair, Nebraska. She can be reached at her office (for appointments etc.) via phone at
(402) 426-1232.
NPI number for Jordan Stilmock is 1629506100 and her current mailing address is 810 N 22nd St, Blair, Nebraska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629506100.
Healthcare Provider's Profile
| Full Name | Jordan Stilmock |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 810 N 22nd St, Blair, Nebraska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629506100
- Provider Enumeration Date: 05/30/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Jordan Stilmock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629506100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 86033344 (Nebraska) | Primary |
| 174N00000X | Lactation Consultant, Non-rn | ALPP-251862 (Nebraska) | Secondary |
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 Stilmock 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 Stilmock, RD, CLC, LMNT 810 N 22nd St, Blair, NE 68008-1128 Ph: (402) 426-1232 | Jordan Stilmock, RD, CLC, LMNT 810 N 22nd St, Blair, NE 68008-1128 Ph: (402) 426-1232 |
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