Provider Demographics
NPI:1518267723
Name:JONES, OLYMPIC NICOLE
Entity Type:Individual
Prefix:MRS
First Name:OLYMPIC
Middle Name:NICOLE
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:OLYMPIC
Other - Middle Name:NICOLE
Other - Last Name:FLEMING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:M S
Mailing Address - Street 1:600 LYNNDALE CT STE D
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-5443
Mailing Address - Country:US
Mailing Address - Phone:252-689-6024
Mailing Address - Fax:252-689-6026
Practice Address - Street 1:600 LYNNDALE CT STE D
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5443
Practice Address - Country:US
Practice Address - Phone:252-689-6024
Practice Address - Fax:252-689-6026
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0149271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical