Provider Demographics
NPI:1710660402
Name:JONES, CLAIR (MPH, RDN)
Entity Type:Individual
Prefix:
First Name:CLAIR
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MPH, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2155 S ELDRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-5911
Mailing Address - Country:US
Mailing Address - Phone:703-999-7228
Mailing Address - Fax:
Practice Address - Street 1:2155 S ELDRIDGE ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-5911
Practice Address - Country:US
Practice Address - Phone:703-999-7228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86199283133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered