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

Mary-Angela Jordan, DTR

Individual provider Registered Dietetic Technician · NPI 1023884525

Mary-Angela Jordan, DTR is a Registered Dietetic Technician in Peoria, Arizona. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

12112 W Tether Trl
Peoria, AZ 85383-5872
Phone: (480) 267-8767
Show map & directions

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

Specialties & licences

Registered Dietetic Technician (primary) Taxonomy 136A00000X

Record details

NPI number1023884525
Entity typeIndividual (Type 1)
GenderFemale
Credentials DTR
Sole proprietorYes
NPI enumeratedNovember 27, 2023
Last updated in NPPESDecember 3, 2023
Certification dateDecember 3, 2023