Provider Demographics
NPI:1881250710
Name:JONES, DENZEL THOMAS
Entity type:Individual
Prefix:
First Name:DENZEL
Middle Name:THOMAS
Last Name:JONES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11215 HOMESTEAD DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-5762
Mailing Address - Country:US
Mailing Address - Phone:202-390-2389
Mailing Address - Fax:
Practice Address - Street 1:11215 HOMESTEAD DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-5762
Practice Address - Country:US
Practice Address - Phone:202-390-2389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-16
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide