Individual
MRS. DENEITRA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA AN LPN
Contact information
Practice address
131 BAINBRIDGE XING, CANTON, MS 39046-6031
(601) 594-6449
(769) 300-0099
Mailing address
131 BAINBRIDGE XING, CANTON, MS 39046-6031
(601) 594-6449
(769) 300-0099
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
83-4624676
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-4624676
—
MS
Enumeration date
06/20/2019
Last updated
06/20/2019
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