Provider Demographics
NPI:1205074614
Name:JONES, AMBER (PHLEBOTOMIST)
Entity type:Individual
Prefix:MS
First Name:AMBER
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1403 COURT ST APT A
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-6499
Mailing Address - Country:US
Mailing Address - Phone:573-999-7494
Mailing Address - Fax:
Practice Address - Street 1:1403 COURT ST APT A
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-6499
Practice Address - Country:US
Practice Address - Phone:573-999-7494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-23
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy