Provider Demographics
NPI:1497035919
Name:FINNEY, JEANNE (MS,RD,LDN,LPCA,NCC)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:
Last Name:FINNEY
Suffix:
Gender:F
Credentials:MS,RD,LDN,LPCA,NCC
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:
Other - Last Name:FINNEY-DAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, RD, LDN
Mailing Address - Street 1:133 BISHOP DR
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-9591
Mailing Address - Country:US
Mailing Address - Phone:252-364-5364
Mailing Address - Fax:
Practice Address - Street 1:133 BISHOP DR
Practice Address - Street 2:
Practice Address - City:WINTERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28590-9591
Practice Address - Country:US
Practice Address - Phone:252-364-5364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-29
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA15202101Y00000X
NCL002634133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered