Provider Demographics
NPI:1033912977
Name:JONES, MISHON (LDN)
Entity type:Individual
Prefix:
First Name:MISHON
Middle Name:
Last Name:JONES
Suffix:
Gender:
Credentials:LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1371 BOSTON POST RD # 1099
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-2755
Mailing Address - Country:US
Mailing Address - Phone:203-293-6034
Mailing Address - Fax:
Practice Address - Street 1:1371 BOSTON POST RD # 1099
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-2755
Practice Address - Country:US
Practice Address - Phone:203-293-6034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2815133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist