Provider Demographics
NPI:1447581996
Name:JONES, ANGELA RUTH (MS)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:RUTH
Last Name:JONES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 MOUNT CARMEL RD
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:TN
Mailing Address - Zip Code:38320-6401
Mailing Address - Country:US
Mailing Address - Phone:731-441-0679
Mailing Address - Fax:731-279-4494
Practice Address - Street 1:332 MOUNT CARMEL RD
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:TN
Practice Address - Zip Code:38320-6401
Practice Address - Country:US
Practice Address - Phone:731-441-0679
Practice Address - Fax:731-279-4494
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-22
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst