Provider Demographics
NPI:1972275527
Name:JONES, JENNIFER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4381 COAL HERITAGE RD
Mailing Address - Street 2:
Mailing Address - City:IAEGER
Mailing Address - State:WV
Mailing Address - Zip Code:24844
Mailing Address - Country:US
Mailing Address - Phone:304-938-2819
Mailing Address - Fax:304-938-5501
Practice Address - Street 1:4381 COAL HERITAGE RD
Practice Address - Street 2:
Practice Address - City:IAEGER
Practice Address - State:WV
Practice Address - Zip Code:24844
Practice Address - Country:US
Practice Address - Phone:304-938-2819
Practice Address - Fax:304-938-5501
Is Sole Proprietor?:No
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0009234183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist