Provider Demographics
NPI:1013039452
Name:JONES, JULIANNE (CRT)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 E DOWLING RD
Mailing Address - Street 2:SUITE 26
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-1424
Mailing Address - Country:US
Mailing Address - Phone:907-258-8618
Mailing Address - Fax:907-563-9291
Practice Address - Street 1:907 E DOWLING RD
Practice Address - Street 2:SUITE 26
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-1424
Practice Address - Country:US
Practice Address - Phone:907-258-8618
Practice Address - Fax:907-563-9291
Is Sole Proprietor?:No
Enumeration Date:2007-04-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKRT2309Medicaid