Individual
DEBRA R JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1620 EAST BROAD STREET, SUITE 109, COLUMBUS, OH 43203
(614) 257-0318
Mailing address
PO BOX 9501, BEXLEY, OH 43209
(614) 257-0318
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35058728
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0944036
—
OH
Enumeration date
01/22/2007
Last updated
01/04/2012
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