Provider Demographics
NPI:1770640120
Name:JONES, JANIE KATHRYN (MPH, RD, LDN)
Entity type:Individual
Prefix:
First Name:JANIE
Middle Name:KATHRYN
Last Name:JONES
Suffix:
Gender:F
Credentials:MPH, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8457 REEDY RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-6885
Mailing Address - Country:US
Mailing Address - Phone:919-413-3489
Mailing Address - Fax:
Practice Address - Street 1:8457 REEDY RIDGE LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-6885
Practice Address - Country:US
Practice Address - Phone:919-413-3489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133V00000X
NCL002985133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered