Provider Demographics
NPI:1811139769
Name:WHITTINGTON, JULIANNE ALLEN (MS, RD, LDN)
Entity type:Individual
Prefix:
First Name:JULIANNE
Middle Name:ALLEN
Last Name:WHITTINGTON
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 1:18512 HAMMOCK LN
Mailing Address - Street 2:
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-8839
Mailing Address - Country:US
Mailing Address - Phone:980-254-6274
Mailing Address - Fax:
Practice Address - Street 1:18512 HAMMOCK LN
Practice Address - Street 2:
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-8839
Practice Address - Country:US
Practice Address - Phone:980-254-6274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-24
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL002469133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered