1538310511 NPI number — MRS. NATASHA HOLDEN JONES M.S., R.D.

Table of content: MRS. NATASHA HOLDEN JONES M.S., R.D. (NPI 1538310511)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538310511 NPI number — MRS. NATASHA HOLDEN JONES M.S., R.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES
Provider First Name:
NATASHA
Provider Middle Name:
HOLDEN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.S., R.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538310511
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/08/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 TRACY WAY
Provider Second Line Business Mailing Address:
NORTHGATE BUSINESS PARK
Provider Business Mailing Address City Name:
CHARLESTON
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
25311
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-347-4313
Provider Business Mailing Address Fax Number:
304-347-4316

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 TRACY WAY
Provider Second Line Business Practice Location Address:
NORTHGATE BUSINESS PARK
Provider Business Practice Location Address City Name:
CHARLESTON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-347-4313
Provider Business Practice Location Address Fax Number:
304-347-4316
Provider Enumeration Date:
10/08/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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