Provider Demographics
NPI:1548424161
Name:FLOWERS, JONAH RENA (DO)
Entity Type:Individual
Prefix:DR
First Name:JONAH
Middle Name:RENA
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MS
Other - First Name:JONAH
Other - Middle Name:RENA
Other - Last Name:FLOWERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:150 KINGSLEY LANE
Mailing Address - Street 2:SUITE 4000
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23505
Mailing Address - Country:US
Mailing Address - Phone:757-889-4280
Mailing Address - Fax:
Practice Address - Street 1:150 KINGSLEY LANE
Practice Address - Street 2:SUITE 4000
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505
Practice Address - Country:US
Practice Address - Phone:757-889-4280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-13
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116020616207Q00000X
VA0102203036207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine