Provider Demographics
NPI:1144865619
Name:JONES, TWANDA OWENS
Entity type:Individual
Prefix:
First Name:TWANDA
Middle Name:OWENS
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 SUSAN DR
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-2844
Mailing Address - Country:US
Mailing Address - Phone:732-991-1182
Mailing Address - Fax:
Practice Address - Street 1:26 SUSAN DR
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-2844
Practice Address - Country:US
Practice Address - Phone:732-991-1182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-08
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator