Provider Demographics
NPI:1386241891
Name:JONES, CARRIE RACHAEL
Entity type:Individual
Prefix:MISS
First Name:CARRIE
Middle Name:RACHAEL
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 HIGH ST SE
Mailing Address - Street 2:
Mailing Address - City:CANAL FULTON
Mailing Address - State:OH
Mailing Address - Zip Code:44614-1139
Mailing Address - Country:US
Mailing Address - Phone:330-607-9517
Mailing Address - Fax:
Practice Address - Street 1:128 HIGH ST SE
Practice Address - Street 2:
Practice Address - City:CANAL FULTON
Practice Address - State:OH
Practice Address - Zip Code:44614-1139
Practice Address - Country:US
Practice Address - Phone:330-607-9517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator