Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | MD.29494 | AL |
N | 208000000X | Pediatrician | MD.29494 | AL |
Y | 2080P0204X | Pediatric Emergency Doctor | MD.29494 | AL |
NPI | 1174779003 |
---|---|
Provider Name | Nicole Eleana Jones |
First Address | Birmingham, AL 35233-1711 |
Second Address | Birmingham, AL 35233-1711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2008 |
Last Update Date | 28/08/2019 |