Provider Demographics
NPI:1093471070
Name:JONES, AMY JEANNINE
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:JEANNINE
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 1:3334 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64109-1835
Mailing Address - Country:US
Mailing Address - Phone:816-686-5743
Mailing Address - Fax:
Practice Address - Street 1:9233 WARD PKWY STE 125
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-3340
Practice Address - Country:US
Practice Address - Phone:816-561-9494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-13
Last Update Date:2021-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional