Provider Demographics
NPI:1235864695
Name:JONES, DIANTHA BAILEY (CD)
Entity Type:Individual
Prefix:
First Name:DIANTHA
Middle Name:BAILEY
Last Name:JONES
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 BAY ST STE 2
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNSBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05819-1913
Mailing Address - Country:US
Mailing Address - Phone:802-274-1837
Mailing Address - Fax:
Practice Address - Street 1:515 BAY ST STE 2
Practice Address - Street 2:
Practice Address - City:SAINT JOHNSBURY
Practice Address - State:VT
Practice Address - Zip Code:05819-1913
Practice Address - Country:US
Practice Address - Phone:802-274-1837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula