Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | D0087793 | MD |
N | 207QS0010X | Family Doctor - Sports Medicine | D87793 | MD |
NPI | 1285020040 |
---|---|
Provider Name | Christine Elizabeth Jones |
First Address | Hanover, MD 21076-3210 |
Second Address | Annapolis, MD 21401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2015 |
Last Update Date | 12/10/2020 |