Provider Demographics
NPI:1841186632
Name:JONES-PETERS, JAMAAL MALIK WILLIAM
Entity type:Individual
Prefix:
First Name:JAMAAL
Middle Name:MALIK WILLIAM
Last Name:JONES-PETERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 S GROVE ST APT 311
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-7912
Mailing Address - Country:US
Mailing Address - Phone:519-209-1411
Mailing Address - Fax:519-209-1411
Practice Address - Street 1:225 S GROVE ST APT 311
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48198-7912
Practice Address - Country:US
Practice Address - Phone:519-209-1411
Practice Address - Fax:519-209-1411
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program