Provider Demographics
NPI:1528798170
Name:JONES, WANDA (CMAA)
Entity type:Individual
Prefix:
First Name:WANDA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:CMAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 SCOTT DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-3018
Mailing Address - Country:US
Mailing Address - Phone:959-999-0609
Mailing Address - Fax:
Practice Address - Street 1:52 SCOTT DR
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-3018
Practice Address - Country:US
Practice Address - Phone:959-999-0609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide