Provider Demographics
NPI:1861896672
Name:JUSTUS, HALEY JUNE (RD, LDN)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:JUNE
Last Name:JUSTUS
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:JUNE
Other - Last Name:DONALDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-5272
Mailing Address - Country:US
Mailing Address - Phone:828-691-2728
Mailing Address - Fax:
Practice Address - Street 1:100 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-5272
Practice Address - Country:US
Practice Address - Phone:828-681-2750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-22
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN37003397A133V00000X
PADN007616133V00000X
MO20240272021133V00000X
OHLD.09612133V00000X
SC2544133V00000X
FLND12966133V00000X
NJ86047176133V00000X
AL5056133V00000X
GALD006373133V00000X
NCL004454133V00000X
KY285116133V00000X
NY010850133V00000X
LA3562133V00000X
MSD-2360133V00000X
IL164008540133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC340023Medicare PIN