Provider Demographics
NPI:1801452669
Name:JONES, JAMIE
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:
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 1:9402 W PINE ST
Mailing Address - Street 2:
Mailing Address - City:LOWGAP
Mailing Address - State:NC
Mailing Address - Zip Code:27024-7128
Mailing Address - Country:US
Mailing Address - Phone:336-326-6765
Mailing Address - Fax:
Practice Address - Street 1:542 ALLRED MILL RD
Practice Address - Street 2:
Practice Address - City:MOUNT AIRY
Practice Address - State:NC
Practice Address - Zip Code:27030-2202
Practice Address - Country:US
Practice Address - Phone:336-789-5076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-16
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty