Provider Demographics
NPI:1093991614
Name:JONES, CANDICE NOELLE (MED, RD, LD, CDE)
Entity Type:Individual
Prefix:MS
First Name:CANDICE
Middle Name:NOELLE
Last Name:JONES
Suffix:
Gender:F
Credentials:MED, RD, LD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4440 RED BANK EXPRESSWAY, SUITE 210
Mailing Address - Street 2:CHRIST HOSPITAL DIABETES OUTPATIENT CENTER
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227
Mailing Address - Country:US
Mailing Address - Phone:513-564-3913
Mailing Address - Fax:
Practice Address - Street 1:CHRIST HOSPITAL DIABETES OUTPATIENT CENTER
Practice Address - Street 2:2139 AUBURN AVE
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219
Practice Address - Country:US
Practice Address - Phone:513-585-2509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6032133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered