Provider Demographics
NPI:1144025875
Name:JONES, BILLIE D
Entity type:Individual
Prefix:
First Name:BILLIE
Middle Name:D
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:BILLIE
Other - Middle Name:D
Other - Last Name:O'GUIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDCS
Mailing Address - Street 1:PO BOX 354733
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32135-4733
Mailing Address - Country:US
Mailing Address - Phone:386-585-4003
Mailing Address - Fax:386-597-7493
Practice Address - Street 1:50 LEANNI WAY UNIT A5
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-4753
Practice Address - Country:US
Practice Address - Phone:386-585-4003
Practice Address - Fax:386-597-7493
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN55862085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound