Provider Demographics
NPI:1922187640
Name:JONES, JOY KATHERINE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:KATHERINE
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 1:1717 S J ST
Mailing Address - Street 2:11TH FL
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-4933
Mailing Address - Country:US
Mailing Address - Phone:253-426-6691
Mailing Address - Fax:253-426-6492
Practice Address - Street 1:1717 S J ST
Practice Address - Street 2:11TH FL
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-4933
Practice Address - Country:US
Practice Address - Phone:253-426-6691
Practice Address - Fax:253-426-6492
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01062425A2084P0800X
NE249222084P0800X
WAMD602914262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0297917OtherSTATE L&I
WA0297908OtherSTATE L&I
WA0297909OtherSTATE L&I
WA0297911OtherSTATE L&I
WA0302688OtherSTATE L&I
WAG8911540Medicare PIN
WAG8911539Medicare PIN
WAG8914217Medicare PIN
WA0297917OtherSTATE L&I
WAG8912454Medicare PIN