Provider Demographics
NPI:1245899327
Name:JONES, ELIZABETH JEWEL (CF-SLP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JEWEL
Last Name:JONES
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 OLD SHELL RD APT 102M
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-3219
Mailing Address - Country:US
Mailing Address - Phone:601-717-2088
Mailing Address - Fax:
Practice Address - Street 1:1290 E NINE MILE RD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-1653
Practice Address - Country:US
Practice Address - Phone:850-857-9343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ9066235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist