Provider Demographics
NPI:1407446693
Name:JONES-WHITFIELD, LORRAINE DENISE
Entity Type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:DENISE
Last Name:JONES-WHITFIELD
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 1:500 MONTICELLO DR NW
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-1638
Mailing Address - Country:US
Mailing Address - Phone:540-423-8718
Mailing Address - Fax:
Practice Address - Street 1:500 MONTICELLO DR NW
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-1638
Practice Address - Country:US
Practice Address - Phone:154-042-3871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty