Provider Demographics
NPI:1699376285
Name:JONES, NAUDIA V (RDN, CDN)
Entity type:Individual
Prefix:
First Name:NAUDIA
Middle Name:V
Last Name:JONES
Suffix:
Gender:F
Credentials:RDN, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 FOSTER AVE APT 1B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-1016
Mailing Address - Country:US
Mailing Address - Phone:718-635-2927
Mailing Address - Fax:
Practice Address - Street 1:2111 FOSTER AVE APT 1B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-1016
Practice Address - Country:US
Practice Address - Phone:718-635-2927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY86103306133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered