Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 303396 | LA |
N | 111NI0900X | Internist | 303396 | LA |
Y | 207RA0401X | Internist - Addiction Medicine | 303396 | LA |
N | 207RA0401X | Internist - Addiction Medicine | C1-0008866 | DE |
N | 208D00000X | General Practice Physician | C1-0008866 | DE |
NPI | 1184754723 |
---|---|
Provider Name | Dr. Christina Elaine Jones |
First Address | Lake Charles, LA 70601-7368 |
Second Address | Sulphur, LA 70663 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 19/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1184754723 | (05) | DE |