Provider Demographics
NPI:1780453340
Name:BURNO JONES, JESSICA HELENE (CNA)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:HELENE
Last Name:BURNO JONES
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 IROQUOIS DR
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-8890
Mailing Address - Country:US
Mailing Address - Phone:803-613-4832
Mailing Address - Fax:
Practice Address - Street 1:204 IROQUOIS DR
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-8890
Practice Address - Country:US
Practice Address - Phone:803-613-4832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-25
Last Update Date:2024-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC100881283747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider