MEDICARE: C JONEZ NUTRITION CONSULTING SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	DX3588	MD
2	133V00000X	Registered Dietitian	133V00000X	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205215068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C JONEZ NUTRITION CONSULTING SERVICES LLC

Provider Business Mailing Address
First Line	:	1140 3RD ST NE FL 2
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-6723
Country	:	US
Telephone Number	:	202-800-5351
Fax Number	:	202-836-9809

Provider Business Practice Location Address
First Line	:	1140 3RD ST NE FL 2
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-6723
Country	:	US
Telephone Number	:	202-800-5351
Fax Number	:	202-836-9809

Authorized Official
Title or Position	:	REGISTERED DIETITIAN NUTRITIONIST
Name	:	MS. CHARMAINE CRYSTAL JONES
Credential	:	MS RDN LDN
Telephone Number	:	202-800-5351

Provider Enumeration Date	:	05/27/2015
Last Update Date	:	08/30/2023

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