Provider Demographics
NPI:1740497445
Name:JONES, NANCY ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:ELIZABETH
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:38107 POTATO CANYON RD
Mailing Address - Street 2:
Mailing Address - City:OAK GLEN
Mailing Address - State:CA
Mailing Address - Zip Code:92399-9489
Mailing Address - Country:US
Mailing Address - Phone:909-709-5176
Mailing Address - Fax:909-790-6681
Practice Address - Street 1:38107 POTATO CANYON RD
Practice Address - Street 2:
Practice Address - City:OAK GLEN
Practice Address - State:CA
Practice Address - Zip Code:92399-9489
Practice Address - Country:US
Practice Address - Phone:909-709-5176
Practice Address - Fax:909-790-6681
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA65665174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist