Provider Demographics
NPI:1780822585
Name:JONES, ERIN PESTA (MS, RD, LDN)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:PESTA
Last Name:JONES
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 FAIRVIEW RD
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-2224
Mailing Address - Country:US
Mailing Address - Phone:704-999-0880
Mailing Address - Fax:877-385-9026
Practice Address - Street 1:6000 FAIRVIEW RD
Practice Address - Street 2:SUITE 1200
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-2224
Practice Address - Country:US
Practice Address - Phone:704-999-0880
Practice Address - Fax:877-385-9026
Is Sole Proprietor?:No
Enumeration Date:2009-02-02
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL003351133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered