Provider Demographics
NPI:1154961571
Name:JONES, CORINA L (MS CERTI IN ELDER)
Entity type:Individual
Prefix:
First Name:CORINA
Middle Name:L
Last Name:JONES
Suffix:
Gender:F
Credentials:MS CERTI IN ELDER
Other - Prefix:
Other - First Name:CORINA
Other - Middle Name:L
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BS, M CERTIF GERI
Mailing Address - Street 1:1210 TERRA HILL DR APT 4B
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19809-3535
Mailing Address - Country:US
Mailing Address - Phone:610-457-5258
Mailing Address - Fax:302-689-6564
Practice Address - Street 1:1210 TERRA HILL DR APT 4B
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19809-3535
Practice Address - Country:US
Practice Address - Phone:610-457-5258
Practice Address - Fax:302-689-6564
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-14
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator