Provider Demographics
NPI:1033200209
Name:JONES, GAIL BROHAWN (CNM, CRNP)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:BROHAWN
Last Name:JONES
Suffix:
Gender:F
Credentials:CNM, CRNP
Other - Prefix:MS
Other - First Name:GAIL
Other - Middle Name:
Other - Last Name:BROHAWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 SILVERWOOD CIR
Mailing Address - Street 2:UNIT 2
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21403-5406
Mailing Address - Country:US
Mailing Address - Phone:410-626-1674
Mailing Address - Fax:
Practice Address - Street 1:3 HARRY S TRUMAN PKWY
Practice Address - Street 2:HD 7
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7031
Practice Address - Country:US
Practice Address - Phone:410-222-7381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR072335363LW0102X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife