Provider Demographics
NPI:1427608991
Name:JONES, DOROTHY
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
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:PO BOX 326
Mailing Address - Street 2:
Mailing Address - City:POWELLS POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27966-0326
Mailing Address - Country:US
Mailing Address - Phone:252-491-9260
Mailing Address - Fax:
Practice Address - Street 1:150 NORTH SPOT ROAD
Practice Address - Street 2:
Practice Address - City:POWELLS POINT
Practice Address - State:NC
Practice Address - Zip Code:27966
Practice Address - Country:US
Practice Address - Phone:252-491-9260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-17
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider