Provider Demographics
NPI:1558725432
Name:NOBLE, JAMIE E (RD, LDN ACSM-CPT)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:E
Last Name:NOBLE
Suffix:
Gender:F
Credentials:RD, LDN ACSM-CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 FAME AVE STE 235
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-1576
Mailing Address - Country:US
Mailing Address - Phone:717-646-7385
Mailing Address - Fax:
Practice Address - Street 1:250 FAME AVE STE 235
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1576
Practice Address - Country:US
Practice Address - Phone:717-646-7385
Practice Address - Fax:717-646-7424
Is Sole Proprietor?:No
Enumeration Date:2016-04-07
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered