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

Mrs. Jordan Camille Kivrak, RN, MSN

Individual provider Nutrition Support Registered Nurse · NPI 1235929480

Mrs. Jordan Camille Kivrak, RN, MSN is a Nutrition Support Registered Nurse in Fenton, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2025
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

See every abbreviation used in this directory →

Practice location Address checks out

216 Stone View Ct
Fenton, MO 63026-5108
Phone: (573) 300-1399
Fax: (573) 300-1399
Show map & directions

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

Specialties & licences

Nutrition Support Registered Nurse (primary) Taxonomy 163WN1003X · Licence 2014019831 (MO)

Record details

NPI number1235929480
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , MSN
Sole proprietorYes
NPI enumeratedMay 10, 2025
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025