Provider Demographics
NPI:1831903335
Name:HORNSBY, MEGAN ELISE (MS, RDN, LDN)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:ELISE
Last Name:HORNSBY
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:362 AMHURST ST SW
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-8837
Mailing Address - Country:US
Mailing Address - Phone:865-816-2146
Mailing Address - Fax:
Practice Address - Street 1:362 AMHURST ST SW
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-8837
Practice Address - Country:US
Practice Address - Phone:865-816-2146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL007067133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered