Provider Demographics
NPI:1003092693
Name:JONES-STEPHENS, LINDA (DO)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:JONES-STEPHENS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20905 GREENFIELD
Mailing Address - Street 2:SUITE 608
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075
Mailing Address - Country:US
Mailing Address - Phone:248-443-7411
Mailing Address - Fax:248-443-7410
Practice Address - Street 1:20905 GREENFIELD
Practice Address - Street 2:SUITE 608
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075
Practice Address - Country:US
Practice Address - Phone:248-443-7411
Practice Address - Fax:248-443-7410
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101040892083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine