Provider Demographics
NPI:1831600626
Name:JONES, GINA N (MS, RD, LD)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:N
Last Name:JONES
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:NICOLET
Other - Last Name:NATOLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1445 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-1621
Mailing Address - Country:US
Mailing Address - Phone:330-647-4544
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-445-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-19
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered