Provider Demographics
NPI:1548563646
Name:JONES, JESSICA (MED)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 466
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:MA
Mailing Address - Zip Code:01929-0009
Mailing Address - Country:US
Mailing Address - Phone:978-505-3497
Mailing Address - Fax:
Practice Address - Street 1:19 MILK STREET
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:MA
Practice Address - Zip Code:01929-0009
Practice Address - Country:US
Practice Address - Phone:978-505-3497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-10
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health