Provider Demographics
NPI:1346040557
Name:JONES, AUDREY MARIE
Entity type:Individual
Prefix:
First Name:AUDREY
Middle Name:MARIE
Last Name:JONES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21881 STRATFORD ST
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-2533
Mailing Address - Country:US
Mailing Address - Phone:313-699-1028
Mailing Address - Fax:
Practice Address - Street 1:21881 STRATFORD ST
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-2533
Practice Address - Country:US
Practice Address - Phone:313-699-1028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider