Provider Demographics
NPI:1366867004
Name:REID-JONES, JA'NET L (BSN, RN, LMT, MMP)
Entity Type:Individual
Prefix:
First Name:JA'NET
Middle Name:L
Last Name:REID-JONES
Suffix:
Gender:F
Credentials:BSN, RN, LMT, MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 PATRIOTS WAY
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-5101
Mailing Address - Country:US
Mailing Address - Phone:302-650-7573
Mailing Address - Fax:
Practice Address - Street 1:240 N. JAMES ST.
Practice Address - Street 2:SUITE 203
Practice Address - City:NEWPORT
Practice Address - State:DE
Practice Address - Zip Code:19804
Practice Address - Country:US
Practice Address - Phone:302-993-9000
Practice Address - Fax:302-993-9000
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEMT-0002103225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist