Provider Demographics
NPI:1336415892
Name:JONES, JANIE L (MD)
Entity Type:Individual
Prefix:DR
First Name:JANIE
Middle Name:L
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:JANIE
Other - Middle Name:L
Other - Last Name:LAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6855 SHORE TER
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-4662
Mailing Address - Country:US
Mailing Address - Phone:317-926-9600
Mailing Address - Fax:317-926-9604
Practice Address - Street 1:6855 SHORE TER
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-4662
Practice Address - Country:US
Practice Address - Phone:317-926-9600
Practice Address - Fax:317-926-9604
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01040243A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine