Provider Demographics
NPI:1306107487
Name:JONES, BERNADETTE N/A (N/A)
Entity type:Individual
Prefix:MRS
First Name:BERNADETTE
Middle Name:N/A
Last Name:JONES
Suffix:
Gender:F
Credentials:N/A
Other - Prefix:MRS
Other - First Name:BERNADETTE
Other - Middle Name:N/A
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:N/A
Mailing Address - Street 1:PO BOX 210
Mailing Address - Street 2:401 MCLMORE STREET
Mailing Address - City:GREENWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:38935-0210
Mailing Address - Country:US
Mailing Address - Phone:662-897-3944
Mailing Address - Fax:601-455-2435
Practice Address - Street 1:401 MCLEMORE ST
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:MS
Practice Address - Zip Code:38930-4537
Practice Address - Country:US
Practice Address - Phone:662-897-3944
Practice Address - Fax:601-455-2435
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-05
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health