Provider Demographics
NPI:1114515525
Name:JONES, PATRICIA MICHELLE
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MICHELLE
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:MICHELLE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5313 GLOBE AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-1539
Mailing Address - Country:US
Mailing Address - Phone:513-427-5294
Mailing Address - Fax:513-434-6331
Practice Address - Street 1:5313 GLOBE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45212-1539
Practice Address - Country:US
Practice Address - Phone:513-427-5294
Practice Address - Fax:513-434-6331
Is Sole Proprietor?:No
Enumeration Date:2021-01-02
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH332BC3200X1744P3200X
OH335E00000X1744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management