Provider Demographics
NPI:1679019988
Name:JONES, GARRIS NICOLE (PT)
Entity Type:Individual
Prefix:
First Name:GARRIS
Middle Name:NICOLE
Last Name:JONES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:GARRIS
Other - Middle Name:N
Other - Last Name:STRICKLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:6404 SHORE DR
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-2579
Mailing Address - Country:US
Mailing Address - Phone:334-648-2019
Mailing Address - Fax:
Practice Address - Street 1:6404 SHORE DR
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-2579
Practice Address - Country:US
Practice Address - Phone:334-648-2019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-10
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist