Provider Demographics
NPI:1699109892
Name:JOANNA HUNTER NUTRITION LLC
Entity type:Organization
Organization Name:JOANNA HUNTER NUTRITION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER & DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:E
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:856-617-1012
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-25
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1062025133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty