Provider Demographics
NPI:1851565907
Name:NORVELL, JEANELL JONES (PH D)
Entity Type:Individual
Prefix:DR
First Name:JEANELL
Middle Name:JONES
Last Name:NORVELL
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1196 MERIWETHER RD
Mailing Address - Street 2:
Mailing Address - City:PIKE ROAD
Mailing Address - State:AL
Mailing Address - Zip Code:36064-1721
Mailing Address - Country:US
Mailing Address - Phone:334-717-8189
Mailing Address - Fax:
Practice Address - Street 1:1196 MERIWETHER RD
Practice Address - Street 2:
Practice Address - City:PIKE ROAD
Practice Address - State:AL
Practice Address - Zip Code:36064-1721
Practice Address - Country:US
Practice Address - Phone:334-717-8189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-19
Last Update Date:2008-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2541101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional