Provider Demographics
NPI:1588129746
Name:ARMSTRONG JONES, REBECCA (RDN)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:ARMSTRONG JONES
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:ARMSTRONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RDN
Mailing Address - Street 1:1075 S UTAH AVE STE 352
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83402-3320
Mailing Address - Country:US
Mailing Address - Phone:208-541-2832
Mailing Address - Fax:
Practice Address - Street 1:1075 S UTAH AVE STE 352
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83402-3320
Practice Address - Country:US
Practice Address - Phone:208-541-2832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-01
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDD-1108133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered