Provider Demographics
NPI:1497513113
Name:JONES, AUBRIANNA LEE (DC)
Entity Type:Individual
Prefix:
First Name:AUBRIANNA
Middle Name:LEE
Last Name:JONES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7563 BUCKINGHAM DR # U3N
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:MO
Mailing Address - Zip Code:63105-3366
Mailing Address - Country:US
Mailing Address - Phone:573-318-6391
Mailing Address - Fax:
Practice Address - Street 1:7563 BUCKINGHAM DR # U3N
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:MO
Practice Address - Zip Code:63105-3366
Practice Address - Country:US
Practice Address - Phone:573-318-6391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024000677111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor