Provider Demographics
NPI:1558723965
Name:JONES, JULIANNA (M ED)
Entity Type:Individual
Prefix:
First Name:JULIANNA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1952 LOCHMOOR BLVD
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-1712
Mailing Address - Country:US
Mailing Address - Phone:313-418-4992
Mailing Address - Fax:
Practice Address - Street 1:1952 LOCHMOOR BLVD
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE WOODS
Practice Address - State:MI
Practice Address - Zip Code:48236-1712
Practice Address - Country:US
Practice Address - Phone:313-418-4992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-24
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other