Provider Demographics
NPI:1154731784
Name:JONES, CHARMAINE (RDN LDN)
Entity type:Individual
Prefix:MS
First Name:CHARMAINE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:RDN LDN
Other - Prefix:MS
Other - First Name:CHARMAINE
Other - Middle Name:C
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RDN LDN
Mailing Address - Street 1:4517 S CAPITOL ST SW
Mailing Address - Street 2:201
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-2021
Mailing Address - Country:US
Mailing Address - Phone:202-280-0234
Mailing Address - Fax:
Practice Address - Street 1:4517 S CAPITOL ST SW
Practice Address - Street 2:#201
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-2021
Practice Address - Country:US
Practice Address - Phone:202-280-0234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-05
Last Update Date:2014-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDI 100000644133V00000X
MDDX3588133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered