Provider Demographics
NPI:1619432549
Name:JONES, MELANIE GAY (RDN,LD, CDE)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:GAY
Last Name:JONES
Suffix:
Gender:F
Credentials:RDN,LD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 MARILYN LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-8107
Mailing Address - Country:US
Mailing Address - Phone:682-551-6842
Mailing Address - Fax:
Practice Address - Street 1:2221 MARILYN LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-8107
Practice Address - Country:US
Practice Address - Phone:682-551-6842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-05
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT84253133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered