Individual
JESSIKA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2541 PASS RD STE F, BILOXI, MS 39531-2112
(228) 388-1002
Mailing address
6300 E LAKE BLVD, STE 301, VANCLEAVE, MS 39565-6771
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6200
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015077
—
MS
01
—
1033218524
GROUP NPI NUMBER
MS
Enumeration date
08/16/2017
Last updated
03/17/2018
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