IndividualActive
Jordan Harris
NPI 1386347607 · Sports Dietetics Nutrition Registered Dietitian · Lynchburg, VA
Provider details
- NPI number
- 1386347607
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 86243057 (NC)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1971 University Blvd Liberty Athletic Center
Lynchburg, VA 24515-0001
Phone: (336) 624-3191
Approximate (ZIP-level) locationGet directions
Mailing address
7612 Timberlake Rd Apt 731
Lynchburg, VA 24502-2467
Registry dates
- Enumerated
- 2023-03-24
- Last updated
- 2023-03-24
- Certified
- 2023-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.