Provider Demographics
NPI:1457824781
Name:JONES, EMILY CLAIRE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:CLAIRE
Last Name:JONES
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4810 WHITESPORT CIR SW STE 110
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-7439
Mailing Address - Country:US
Mailing Address - Phone:256-715-5300
Mailing Address - Fax:866-222-8535
Practice Address - Street 1:4810 WHITESPORT CIR SW STE 110
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-7439
Practice Address - Country:US
Practice Address - Phone:256-715-5300
Practice Address - Fax:866-222-8535
Is Sole Proprietor?:No
Enumeration Date:2019-01-09
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-152434207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology