Provider Demographics
NPI:1639758212
Name:JONES, ERICA DAIL (MD)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:DAIL
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
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 231326
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70183-1326
Mailing Address - Country:US
Mailing Address - Phone:337-331-5117
Mailing Address - Fax:
Practice Address - Street 1:5720 CITRUS BLVD UNIT 231326
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70123-1661
Practice Address - Country:US
Practice Address - Phone:337-331-5117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program