Provider Demographics
NPI:1215284476
Name:JONES, JENNIFER LEIGH (BS ITFS)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:LEIGH
Last Name:JONES
Suffix:
Gender:F
Credentials:BS ITFS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 COUNTRY HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-9184
Mailing Address - Country:US
Mailing Address - Phone:508-237-9349
Mailing Address - Fax:
Practice Address - Street 1:304 COUNTRY HAVEN DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28411-9184
Practice Address - Country:US
Practice Address - Phone:508-237-9349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist