Provider Demographics
NPI:1659018661
Name:JONES, SAMIRAH JACQUELINE
Entity Type:Individual
Prefix:
First Name:SAMIRAH
Middle Name:JACQUELINE
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 1:700 N FRANKLIN BLVD UNIT 602
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08232-1573
Mailing Address - Country:US
Mailing Address - Phone:609-377-2827
Mailing Address - Fax:
Practice Address - Street 1:700 N FRANKLIN BLVD UNIT 602
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08232-1573
Practice Address - Country:US
Practice Address - Phone:609-377-2827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula