Provider Demographics
NPI:1255879375
Name:JONES, IRIS YVONNE (NURSE AID)
Entity type:Individual
Prefix:MS
First Name:IRIS
Middle Name:YVONNE
Last Name:JONES
Suffix:
Gender:F
Credentials:NURSE AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2585 CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-6803
Mailing Address - Country:US
Mailing Address - Phone:704-345-2781
Mailing Address - Fax:
Practice Address - Street 1:2585 CREEK CIR
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6803
Practice Address - Country:US
Practice Address - Phone:704-345-2781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAX3P5J6E2246RP1900X, 247200000X
GACN0030015656376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No376K00000XNursing Service Related ProvidersNurse's Aide