Provider Demographics
NPI:1598538522
Name:JONES, TANINE EBONY
Entity Type:Individual
Prefix:
First Name:TANINE
Middle Name:EBONY
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 1:534 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19023-3113
Mailing Address - Country:US
Mailing Address - Phone:267-726-5940
Mailing Address - Fax:
Practice Address - Street 1:534 S 3RD ST
Practice Address - Street 2:
Practice Address - City:DARBY
Practice Address - State:PA
Practice Address - Zip Code:19023-3113
Practice Address - Country:US
Practice Address - Phone:267-726-5940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management