Provider Demographics
NPI:1396083903
Name:JONES, FIREN MICHELLE (CPM, LM)
Entity type:Individual
Prefix:MS
First Name:FIREN
Middle Name:MICHELLE
Last Name:JONES
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:MS
Other - First Name:SUZANNE
Other - Middle Name:MICHELLE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPM, LM
Mailing Address - Street 1:1960 15TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-1728
Mailing Address - Country:US
Mailing Address - Phone:214-676-0902
Mailing Address - Fax:
Practice Address - Street 1:1960 15TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-1728
Practice Address - Country:US
Practice Address - Phone:214-676-0902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-17
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99154176B00000X
CA413176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife