Jordan Camille Kivrak, RN, MSN
Nutrition Support Registered Nurse · Fenton, MO
Jordan Camille Kivrak, RN, MSN is a nutrition support registered nurse with a practice address in Fenton, Missouri, and NPI 1235929480, issued on May 10, 2025. Check the license (Missouri 2014019831, as entered in NPPES) with the Missouri board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jordan Camille Kivrak
- Credential
- RN, MSN
- Primary taxonomy
- Nutrition Support Registered Nurse 163WN1003X
- License number
- 2014019831 MO
Self-reported in NPPES; status is on the state search - Practice location
- 216 Stone View CT, Fenton, MO 63026
- Phone
- (573) 300-1399
- Enumerated
- May 10, 2025
- Record last updated
- May 20, 2025
- Fax
- (573) 300-1399
- Entity
- Type 1 · individual
Verify Jordan Camille Kivrak in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Missouri board licenses this profession
Search for license 2014019831Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Nutrition Support Registered Nurse providers in Missouri
There are 3 nutrition support registered nurse records in Missouri. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other nutrition support registered nurse records in Missouri
- Mildred Horvath, RNVlg Loch Loyd, MO1154004729
- Amy WalquistOdessa, MO1013536531
Common questions
What is Jordan Camille Kivrak, RN, MSN's NPI number?
Jordan Camille Kivrak, RN, MSN's National Provider Identifier (NPI) is 1235929480, issued on May 10, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Jordan Camille Kivrak, RN, MSN located?
The NPPES record lists a practice address at 216 Stone View CT, Fenton, MO, 63026. Phone: (573) 300-1399. Providers update this record themselves, so call before visiting.
How can I verify Jordan Camille Kivrak, RN, MSN's license?
NPPES lists Missouri license number 2014019831, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.