Provider Demographics
NPI:1770215295
Name:BORGES-JONES, JOANN ANTOINETTE
Entity type:Individual
Prefix:
First Name:JOANN
Middle Name:ANTOINETTE
Last Name:BORGES-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 1:5810 SAVANNAH DR
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-7763
Mailing Address - Country:US
Mailing Address - Phone:240-424-9675
Mailing Address - Fax:
Practice Address - Street 1:5810 SAVANNAH DR
Practice Address - Street 2:
Practice Address - City:BRANDYWINE
Practice Address - State:MD
Practice Address - Zip Code:20613-7763
Practice Address - Country:US
Practice Address - Phone:240-424-9675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-24
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X
DCHHA200001669374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant