Provider Demographics
NPI:1093079840
Name:JONES, NANCY H (MS, RD, LDN)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:H
Last Name:JONES
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W MARION ST
Mailing Address - Street 2:CLEVELAND COUNTY SCHOOLS CHILD NUTRITION
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-5338
Mailing Address - Country:US
Mailing Address - Phone:704-476-8128
Mailing Address - Fax:
Practice Address - Street 1:400 W MARION ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-5338
Practice Address - Country:US
Practice Address - Phone:704-476-8128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL002638133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered