Provider Demographics
NPI:1568158608
Name:JONES, ANNMARIE CHRISTINE
Entity Type:Individual
Prefix:
First Name:ANNMARIE
Middle Name:CHRISTINE
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 1:217 JANESA DR
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25403-1254
Mailing Address - Country:US
Mailing Address - Phone:304-620-0146
Mailing Address - Fax:
Practice Address - Street 1:217 JANESA DR
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25403-1254
Practice Address - Country:US
Practice Address - Phone:304-620-0146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-12
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant