Provider Demographics
NPI:1750623302
Name:JONES, SHARNICE DENINE
Entity type:Individual
Prefix:MISS
First Name:SHARNICE
Middle Name:DENINE
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 THATCHAM DR APT 12
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61820-2380
Mailing Address - Country:US
Mailing Address - Phone:224-321-7315
Mailing Address - Fax:
Practice Address - Street 1:21 THATCHAM DR APT 12
Practice Address - Street 2:
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61820-2380
Practice Address - Country:US
Practice Address - Phone:224-321-7315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker