Provider Demographics
NPI:1891584413
Name:JONES, TARYN ANNE (MS, RDN, CD)
Entity type:Individual
Prefix:
First Name:TARYN
Middle Name:ANNE
Last Name:JONES
Suffix:
Gender:
Credentials:MS, RDN, CD
Other - Prefix:
Other - First Name:TARYN
Other - Middle Name:ANNE
Other - Last Name:WAGNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 600
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-0600
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9107 FORTUNA DR
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-3132
Practice Address - Country:US
Practice Address - Phone:206-209-0623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered