Provider Demographics
NPI:1083693188
Name:JONES, MONICA B (MD)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:B
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 12622
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4017
Mailing Address - Country:US
Mailing Address - Phone:443-481-3354
Mailing Address - Fax:443-481-6515
Practice Address - Street 1:2000 MEDICAL PKWY STE 200
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3744
Practice Address - Country:US
Practice Address - Phone:443-481-3493
Practice Address - Fax:443-481-6705
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN43971207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5910115Medicaid
NC2022813Medicare PIN
NC5910115Medicaid