Provider Demographics
NPI:1346023454
Name:JONES, CHERYL ANITA
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANITA
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:368 FARLEY CIR
Mailing Address - Street 2:
Mailing Address - City:ROANOKE RAPIDS
Mailing Address - State:NC
Mailing Address - Zip Code:27870-6385
Mailing Address - Country:US
Mailing Address - Phone:252-301-7803
Mailing Address - Fax:
Practice Address - Street 1:368 FARLEY CIR
Practice Address - Street 2:
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870-6385
Practice Address - Country:US
Practice Address - Phone:252-301-7803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical