Provider Demographics
NPI:1528122462
Name:JONES, JANET HALL (MD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:HALL
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 FOUNTAIN CT.
Mailing Address - Street 2:SUITE 160
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-2510
Mailing Address - Country:US
Mailing Address - Phone:859-264-9073
Mailing Address - Fax:859-264-9074
Practice Address - Street 1:216 FOUNTAIN CT.
Practice Address - Street 2:SUITE 160
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2510
Practice Address - Country:US
Practice Address - Phone:859-264-9073
Practice Address - Fax:859-264-9074
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY162632084P0800X, 2084P0804X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64162639Medicaid
KY64162639Medicaid
KY1383601Medicare PIN