1336334861 NPI number — MRS. JO ANN JONES MS IN SPEECH LANGUAG

Table of content: MRS. JO ANN JONES MS IN SPEECH LANGUAG (NPI 1336334861)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336334861 NPI number — MRS. JO ANN JONES MS IN SPEECH LANGUAG

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES
Provider First Name:
JO
Provider Middle Name:
ANN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS IN SPEECH LANGUAG
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336334861
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/15/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1336
Provider Second Line Business Mailing Address:
JOANN JONES
Provider Business Mailing Address City Name:
PINEVILLE
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
24874-1336
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-732-7966
Provider Business Mailing Address Fax Number:
304-732-7966

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ROUTE 10
Provider Second Line Business Practice Location Address:
WYOMING COUNTY BOARD OF EDUCATION
Provider Business Practice Location Address City Name:
PINEVILLE
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
24874
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-732-6262
Provider Business Practice Location Address Fax Number:
304-732-8569
Provider Enumeration Date:
09/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0155346000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".




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