Provider Demographics
NPI:1003403262
Name:JONES, EMILY (LM, CPM)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 EASTLAKE AVE E
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-3707
Mailing Address - Country:US
Mailing Address - Phone:206-861-8300
Mailing Address - Fax:206-861-8305
Practice Address - Street 1:1500 EASTLAKE AVE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-3707
Practice Address - Country:US
Practice Address - Phone:206-861-8300
Practice Address - Fax:206-861-8305
Is Sole Proprietor?:No
Enumeration Date:2020-12-22
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMW61117609176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife