Provider Demographics
NPI:1497517007
Name:JONES, PAMELA CHRISTINA
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:CHRISTINA
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 HARTMONT RD
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-1246
Mailing Address - Country:US
Mailing Address - Phone:443-845-3917
Mailing Address - Fax:
Practice Address - Street 1:125 NUNNERY LN
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-2029
Practice Address - Country:US
Practice Address - Phone:443-845-3917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03A11173-A310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility