Provider Demographics
NPI:1932927175
Name:JONES, GABRIELLE GENEVA (RPH)
Entity type:Individual
Prefix:MRS
First Name:GABRIELLE
Middle Name:GENEVA
Last Name:JONES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10810 BARONET RD
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3002
Mailing Address - Country:US
Mailing Address - Phone:443-694-3036
Mailing Address - Fax:
Practice Address - Street 1:3455 WILKENS AVE STE 103
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-5204
Practice Address - Country:US
Practice Address - Phone:410-644-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30057183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist