Provider Demographics
NPI:1568013753
Name:JONES, LESLIE MARIE
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:MARIE
Last Name:JONES
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:PO BOX 203
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:ME
Mailing Address - Zip Code:04364-0203
Mailing Address - Country:US
Mailing Address - Phone:207-446-2009
Mailing Address - Fax:
Practice Address - Street 1:426 RIVER RD
Practice Address - Street 2:
Practice Address - City:NORTH ANSON
Practice Address - State:ME
Practice Address - Zip Code:04958-7134
Practice Address - Country:US
Practice Address - Phone:207-491-7756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider