Provider Demographics
NPI:1588698088
Name:JONES-DEES, JENIFER E (MD)
Entity type:Individual
Prefix:
First Name:JENIFER
Middle Name:E
Last Name:JONES-DEES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JENIFER
Other - Middle Name:E
Other - Last Name:JONES-DEES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 6001
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58108-6001
Mailing Address - Country:US
Mailing Address - Phone:701-364-3300
Mailing Address - Fax:701-364-8906
Practice Address - Street 1:4450 31ST AVE S STE 102
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-4557
Practice Address - Country:US
Practice Address - Phone:701-280-2033
Practice Address - Fax:701-232-5578
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND9711208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1202940OtherMEDICA #
ND1202948OtherMEDICA #
ND34887OtherLHS #
ND13079Medicaid
ND24550OtherNDBS #
ND751173600Medicaid
ND833S4JOOtherMNBS #
NDHP42707OtherHEALTHPARTNERS #
ND137044OtherUCARE #
ND1202943OtherMEDICA #
NDDA9011041662OtherPREFERRED ONE #
ND751173600Medicaid
ND13079Medicaid