Provider Demographics
NPI:1528744349
Name:JONES, BRIENNA JAMEL
Entity type:Individual
Prefix:
First Name:BRIENNA
Middle Name:JAMEL
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 1:34 ENDEAVOR CIR
Mailing Address - Street 2:
Mailing Address - City:MAULDIN
Mailing Address - State:SC
Mailing Address - Zip Code:29662-2451
Mailing Address - Country:US
Mailing Address - Phone:864-561-2189
Mailing Address - Fax:
Practice Address - Street 1:34 ENDEAVOR CIR
Practice Address - Street 2:
Practice Address - City:MAULDIN
Practice Address - State:SC
Practice Address - Zip Code:29662-2451
Practice Address - Country:US
Practice Address - Phone:864-561-2189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management