Provider Demographics
NPI:1255831145
Name:JONES, GEORGETTE (MPH)
Entity Type:Individual
Prefix:MS
First Name:GEORGETTE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2119 W GENESEE STREET RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-9413
Mailing Address - Country:US
Mailing Address - Phone:315-252-4212
Mailing Address - Fax:315-252-3678
Practice Address - Street 1:2119 W GENESEE STREET RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-9413
Practice Address - Country:US
Practice Address - Phone:315-252-4212
Practice Address - Fax:315-252-3678
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator