Provider Demographics
NPI:1093481301
Name:JONES, YAMETA Y
Entity Type:Individual
Prefix:
First Name:YAMETA
Middle Name:Y
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 1:1204 WASHINGTON AVE STE 408
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63103-1944
Mailing Address - Country:US
Mailing Address - Phone:314-354-6304
Mailing Address - Fax:314-354-6305
Practice Address - Street 1:1204 WASHINGTON AVE STE 408
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63103-1944
Practice Address - Country:US
Practice Address - Phone:314-354-6304
Practice Address - Fax:314-354-6305
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide