Provider Demographics
NPI:1447220231
Name:JONES, JANINE CORBITT (MD)
Entity Type:Individual
Prefix:DR
First Name:JANINE
Middle Name:CORBITT
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:110 CLUBHOUSE DR
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-9138
Mailing Address - Country:US
Mailing Address - Phone:859-223-8623
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY HEALTH SERVICE
Practice Address - Street 2:KENTUCKY CLINIC B-163
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0284
Practice Address - Country:US
Practice Address - Phone:859-323-5823
Practice Address - Fax:859-323-1119
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY21414207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYE01322Medicare UPIN