Provider Demographics
NPI:1134460645
Name:ARNEY, JESSICA BROWN (MS, RD)
Entity Type:Individual
Prefix:MISS
First Name:JESSICA
Middle Name:BROWN
Last Name:ARNEY
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 MAPLEVIEW ST
Mailing Address - Street 2:
Mailing Address - City:POUNDING MILL
Mailing Address - State:VA
Mailing Address - Zip Code:24637-4128
Mailing Address - Country:US
Mailing Address - Phone:276-964-1524
Mailing Address - Fax:
Practice Address - Street 1:248 MAPLEVIEW ST
Practice Address - Street 2:
Practice Address - City:POUNDING MILL
Practice Address - State:VA
Practice Address - Zip Code:24637-4128
Practice Address - Country:US
Practice Address - Phone:276-964-1524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-07
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV637133V00000X
971645133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered