Provider Demographics
NPI:1669763009
Name:JONES-BROWN, JACQUELINE EARNESA (EDD)
Entity type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:EARNESA
Last Name:JONES-BROWN
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 FOX SQUIRREL RD
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:SC
Mailing Address - Zip Code:29045-9234
Mailing Address - Country:US
Mailing Address - Phone:803-530-4151
Mailing Address - Fax:803-462-5819
Practice Address - Street 1:400 FOX SQUIRREL RD
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:SC
Practice Address - Zip Code:29045-9234
Practice Address - Country:US
Practice Address - Phone:803-530-4151
Practice Address - Fax:803-462-5819
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC963235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist