Individual
ALICE S JONAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN/PMH
Contact information
Practice address
2 OAKWAY ROAD, LUTHERVILLE, MD 21093
(443) 540-1526
(410) 882-1079
Mailing address
71 PENNY LN, BALTIMORE, MD 21209-2726
(443) 540-1526
(410) 882-1079
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R063886
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215361
JOHNS HOPKINS HEALTHCARE
MD
05
—
754219400
—
MD
01
—
CR53-0001
CAREFIRST BLUECROSS BLUESHIELD
MD
Enumeration date
04/25/2006
Last updated
11/01/2021
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