Provider Demographics
NPI:1346557105
Name:JONES, JAMIE REBECCA (RPH)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:REBECCA
Last Name:JONES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1382 M 1/4 RD
Mailing Address - Street 2:
Mailing Address - City:LOMA
Mailing Address - State:CO
Mailing Address - Zip Code:81524-9713
Mailing Address - Country:US
Mailing Address - Phone:970-858-3756
Mailing Address - Fax:
Practice Address - Street 1:2373 G RD STE 120
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-1003
Practice Address - Country:US
Practice Address - Phone:970-644-4380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-01
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO14996183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist