Provider Demographics
NPI:1457497828
Name:JONES, NANDITA JOSHI (MD)
Entity Type:Individual
Prefix:
First Name:NANDITA
Middle Name:JOSHI
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 BELFORT RD STE 420
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-6040
Mailing Address - Country:US
Mailing Address - Phone:904-281-5757
Mailing Address - Fax:904-281-5758
Practice Address - Street 1:5200 BELFORT RD STE 420
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-6040
Practice Address - Country:US
Practice Address - Phone:904-281-5757
Practice Address - Fax:904-281-5758
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME999212084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAI19532Medicare UPIN
GA26BDJSTMedicare ID - Type Unspecified