Provider Demographics
NPI:1114334034
Name:JONES, JAYME LYNNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAYME
Middle Name:LYNNE
Last Name:JONES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 BRUNSWICK SQUARE CT
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23868-3815
Mailing Address - Country:US
Mailing Address - Phone:434-848-4247
Mailing Address - Fax:434-848-0448
Practice Address - Street 1:115 BRUNSWICK SQUARE CT
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:VA
Practice Address - Zip Code:23868-3815
Practice Address - Country:US
Practice Address - Phone:434-848-4247
Practice Address - Fax:434-848-0448
Is Sole Proprietor?:No
Enumeration Date:2014-07-14
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA202208577183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist