Provider Demographics
NPI:1346401254
Name:JONES, JENNNIFER ANNE (MA)
Entity Type:Individual
Prefix:
First Name:JENNNIFER
Middle Name:ANNE
Last Name:JONES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3838 MASSILLON RD STE 380A
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-6214
Mailing Address - Country:US
Mailing Address - Phone:330-899-0050
Mailing Address - Fax:330-899-0060
Practice Address - Street 1:3838 MASSILLON RD STE 380A
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-6214
Practice Address - Country:US
Practice Address - Phone:330-899-0050
Practice Address - Fax:330-899-0060
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA01342237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHA01342OtherSTATE OF OHIO
OHA01342OtherSTATE OF OHIO