Provider Demographics
NPI:1013156660
Name:JONES, CARMETTA SHARLENA
Entity Type:Individual
Prefix:
First Name:CARMETTA
Middle Name:SHARLENA
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 36125
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48236
Mailing Address - Country:US
Mailing Address - Phone:313-550-6897
Mailing Address - Fax:188-852-1370
Practice Address - Street 1:790 W GRAND BLVD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48216-1003
Practice Address - Country:US
Practice Address - Phone:313-550-6897
Practice Address - Fax:888-521-3704
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-05
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health