Provider Demographics
NPI:1164670220
Name:JONES, NANCY O (MED)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:O
Last Name:JONES
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:O
Other - Last Name:CHAVEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 LAWRENCE ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01840-1431
Mailing Address - Country:US
Mailing Address - Phone:978-620-2550
Mailing Address - Fax:978-687-1597
Practice Address - Street 1:11 LAWRENCE ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1431
Practice Address - Country:US
Practice Address - Phone:978-620-2550
Practice Address - Fax:978-687-1597
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor