Provider Demographics
NPI:1598561979
Name:BEY, JORDYN (MS, RDN, LD)
Entity type:Individual
Prefix:
First Name:JORDYN
Middle Name:
Last Name:BEY
Suffix:
Gender:
Credentials:MS, RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 CENTER ST W UNIT 242
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902-0347
Mailing Address - Country:US
Mailing Address - Phone:507-213-8067
Mailing Address - Fax:
Practice Address - Street 1:1620 CENTER ST W UNIT 242
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-0347
Practice Address - Country:US
Practice Address - Phone:507-213-8067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered