Provider Demographics
NPI:1982048393
Name:HUNTER, JOANNA E (RDN)
Entity Type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:E
Last Name:HUNTER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:HADDON HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08035-1928
Mailing Address - Country:US
Mailing Address - Phone:856-617-1012
Mailing Address - Fax:856-502-0100
Practice Address - Street 1:116 WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:HADDON HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:08035-1928
Practice Address - Country:US
Practice Address - Phone:856-617-1012
Practice Address - Fax:856-502-0100
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-29
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN004781133V00000X
NJ1062025133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered