Provider Demographics
NPI:1033853940
Name:JONES, DANIELLE YVETTE (MEDICAL ASSISTANT)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:YVETTE
Last Name:JONES
Suffix:
Gender:F
Credentials:MEDICAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:554 SHERWOOD OAKS RD
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30087-5214
Mailing Address - Country:US
Mailing Address - Phone:678-468-2784
Mailing Address - Fax:
Practice Address - Street 1:554 SHERWOOD OAKS RD
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087-5214
Practice Address - Country:US
Practice Address - Phone:678-468-2784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty