Provider Demographics
NPI:1508009358
Name:JONES, JENNIFER1 (MA)
Entity Type:Individual
Prefix:
First Name:JENNIFER1
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13278 NW 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33325-2100
Mailing Address - Country:US
Mailing Address - Phone:954-608-7309
Mailing Address - Fax:954-252-4269
Practice Address - Street 1:700 E ATLANTIC BLVD
Practice Address - Street 2:# 307
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-6353
Practice Address - Country:US
Practice Address - Phone:954-370-1145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist