=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699109892
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JOANNA HUNTER NUTRITION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/25/2013
-----------------------------------------------------
Last Update Date | 12/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 116 WHITE HORSE PIKE
-----------------------------------------------------
City | HADDON HEIGHTS
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08035-1928
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-617-1012
-----------------------------------------------------
Fax | 856-502-0100
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 116 WHITE HORSE PIKE
-----------------------------------------------------
City | HADDON HEIGHTS
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08035-1928
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-617-1012
-----------------------------------------------------
Fax | 856-502-0100
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JOANNA E HUNTER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 856-617-1012
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 133V00000X
-----------------------------------------------------
Taxonomy Name | Registered Dietitian
-----------------------------------------------------
License Number | 1062025
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------