Provider Demographics
NPI:1609192624
Name:JONES, ROBIN ELIZABETH (CNIM)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:ELIZABETH
Last Name:JONES
Suffix:
Gender:F
Credentials:CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4208 TAMARISK DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-8114
Mailing Address - Country:US
Mailing Address - Phone:405-219-8148
Mailing Address - Fax:405-286-6317
Practice Address - Street 1:4208 TAMARISK DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8114
Practice Address - Country:US
Practice Address - Phone:405-219-8148
Practice Address - Fax:405-286-6317
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
246ZS0410X
OK246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist