Individual
NICOLETTE M. JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5415
(740) 446-5958
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5415
(740) 446-5958
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
20360
WV
208800000X
Urology Physician
Primary
35.074405
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007133
ANTHEM BCBS
—
01
—
000000185208
UNISON MEDICAID
OH
01
—
001714105
MOUNTAIN STATE BCBS
—
05
—
0130533000
—
WV
01
—
2065465
MOLINA MEDICAID
OH
05
—
2065465
—
OH
01
—
310917085125
CARESOURCE MEDICAID
OH
01
—
340015105
RR MEDICARE
—
Enumeration date
05/27/2006
Last updated
01/21/2021
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