Provider Demographics
NPI:1932898699
Name:JONES, JARRED (INTERN/EXTERN)
Entity Type:Individual
Prefix:
First Name:JARRED
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:INTERN/EXTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 QUINTARD DRIVE
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36203
Mailing Address - Country:US
Mailing Address - Phone:256-831-6116
Mailing Address - Fax:866-928-5017
Practice Address - Street 1:610 QUINTARD DRIVE
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:AL
Practice Address - Zip Code:36203
Practice Address - Country:US
Practice Address - Phone:256-831-6116
Practice Address - Fax:866-928-5017
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS14213183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician