Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 35069859 | OH |
NPI | 1013916030 |
---|---|
Provider Name | Julie M Jones |
First Address | Columbus, OH 43212-3930 |
Second Address | Columbus, OH 43222-1553 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 15/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2070708 | (05) | OH |
G84361 | (02) | OH |