Provider Demographics
NPI:1295161552
Name:TIFFANI JONES
Entity type:Organization
Organization Name:TIFFANI JONES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIFFANI
Authorized Official - Middle Name:D
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:904-891-1475
Mailing Address - Street 1:110 HIBISCUS CT
Mailing Address - Street 2:
Mailing Address - City:KINGSLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31548-6747
Mailing Address - Country:US
Mailing Address - Phone:904-891-1475
Mailing Address - Fax:912-882-2308
Practice Address - Street 1:110 HIBISCUS CT
Practice Address - Street 2:
Practice Address - City:KINGSLAND
Practice Address - State:GA
Practice Address - Zip Code:31548-6747
Practice Address - Country:US
Practice Address - Phone:904-891-1475
Practice Address - Fax:912-882-2308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9190591251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health