Provider Demographics
NPI:1093414344
Name:JONES, BRIONJALA
Entity Type:Individual
Prefix:
First Name:BRIONJALA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2160 PLANTATION FORREST DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32317-9769
Mailing Address - Country:US
Mailing Address - Phone:850-445-7215
Mailing Address - Fax:
Practice Address - Street 1:2160 PLANTATION FORREST DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32317-9769
Practice Address - Country:US
Practice Address - Phone:850-445-7215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care