Provider Demographics
NPI:1598319253
Name:JONES-COVINGTON, BETTY L
Entity Type:Individual
Prefix:MRS
First Name:BETTY
Middle Name:L
Last Name:JONES-COVINGTON
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 1:1001 W EVANS ST STE 204
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-3388
Mailing Address - Country:US
Mailing Address - Phone:843-799-4441
Mailing Address - Fax:843-799-4484
Practice Address - Street 1:1001 W EVANS ST STE 204
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-3388
Practice Address - Country:US
Practice Address - Phone:843-799-4441
Practice Address - Fax:843-799-4484
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-30
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC206495163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse