Healthcare Provider Details

I. General information

NPI: 1174431696
Provider Name (Legal Business Name): WHOAA CO. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7551 BAUX MOUNTAIN RD
GERMANTON NC
27019-9494
US

IV. Provider business mailing address

7551 BAUX MOUNTAIN RD
GERMANTON NC
27019-9494
US

V. Phone/Fax

Practice location:
  • Phone: 815-953-4669
  • Fax:
Mailing address:
  • Phone: 815-953-4669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: JAMIE NEVEN
Title or Position: OWNER / REGISTERED DIETITIAN
Credential: MS, RDN
Phone: 815-953-4669