Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jorge A Prada, CNS

Individual provider Dietary Manager · NPI 1588089684

Dr. Jorge A Prada, CNS is a Dietary Manager in Clarkston, Michigan. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2014
What do these letters mean?
CNS — Clinical Nurse Specialist
An advanced practice nurse specialising in a patient population or setting.

See every abbreviation used in this directory →

Practice location Address checks out

5885 S Main St Ste 6B
Clarkston, MI 48346-2981
Phone: (248) 707-6367
Fax: (248) 707-6233
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dietary Manager (primary) Taxonomy 132700000X · Licence 12017 (IL)

Record details

NPI number1588089684
Entity typeIndividual (Type 1)
GenderMale
Credentials CNS
Sole proprietorYes
NPI enumeratedFebruary 26, 2014
Last updated in NPPESFebruary 26, 2014
Mailing address5885 S Main St, Suite 6b, Clarkston, MI 48346-2981