Provider Demographics
NPI:1508528316
Name:JONES, ISABELLA JEANETTA
Entity Type:Individual
Prefix:
First Name:ISABELLA
Middle Name:JEANETTA
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 1:4045 SAGAN CT
Mailing Address - Street 2:
Mailing Address - City:LOMPOC
Mailing Address - State:CA
Mailing Address - Zip Code:93436-1969
Mailing Address - Country:US
Mailing Address - Phone:805-757-4537
Mailing Address - Fax:
Practice Address - Street 1:4045 SAGAN CT
Practice Address - Street 2:
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-1969
Practice Address - Country:US
Practice Address - Phone:805-757-4537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-08
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist