Provider Demographics
NPI:1396035770
Name:JONES, JANE HUBBARD (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:HUBBARD
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 1:1805 W STATE OF FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-8801
Mailing Address - Country:US
Mailing Address - Phone:423-929-1409
Mailing Address - Fax:423-929-1442
Practice Address - Street 1:1805 W STATE OF FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-8801
Practice Address - Country:US
Practice Address - Phone:423-929-1409
Practice Address - Fax:423-929-1442
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9049183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist