Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 2016-01441 | NC |
N | 207Q00000X | Family Doctor | 31950 | KY |
N | 207QA0401X | Family Doctor - Addiction Medicine | 31950 | KY |
N | 207V00000X | Obstetrician & Gynecologist | 31950 | KY |
N | 207V00000X | Obstetrician & Gynecologist | 35070033J | OH |
NPI | 1649229352 |
---|---|
Provider Name | Jill S Jones |
First Address | Cincinnati, OH 45263-5283 |
Second Address | Spruce Pine, NC 28777 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2006 |
Last Update Date | 30/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200132450 | (05) | IN |
2103691 | (05) | OH |
64319502 | (05) | KY |
G91157 | (02) |