Provider Demographics
NPI:1558597336
Name:IONES, ANNA
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:IONES
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 1:40 BRIGHTON 1ST RD APT 17F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-8132
Mailing Address - Country:US
Mailing Address - Phone:347-820-1123
Mailing Address - Fax:
Practice Address - Street 1:95 MADISON AVE STE 103
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7331
Practice Address - Country:US
Practice Address - Phone:973-455-7444
Practice Address - Fax:973-455-7447
Is Sole Proprietor?:No
Enumeration Date:2009-06-06
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA101904002084N0400X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program