Provider Demographics
NPI:1851516702
Name:JONES, JANE MM (AP, LMT)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:MM
Last Name:JONES
Suffix:
Gender:F
Credentials:AP, LMT
Other - Prefix:MS
Other - First Name:JANE
Other - Middle Name:M
Other - Last Name:MOYLAN-JONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AP, LMT
Mailing Address - Street 1:266 FLAMINGO DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-7720
Mailing Address - Country:US
Mailing Address - Phone:561-832-0986
Mailing Address - Fax:561-366-9473
Practice Address - Street 1:266 FLAMINGO DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-7720
Practice Address - Country:US
Practice Address - Phone:561-832-0986
Practice Address - Fax:561-366-9473
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP801 LMT4963171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist