Provider Demographics
NPI:1548820988
Name:JONES, TENIKA DANIELLE
Entity type:Individual
Prefix:
First Name:TENIKA
Middle Name:DANIELLE
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 1:1929 W MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21223-1122
Mailing Address - Country:US
Mailing Address - Phone:443-983-3395
Mailing Address - Fax:
Practice Address - Street 1:1929 W MULBERRY ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21223-1122
Practice Address - Country:US
Practice Address - Phone:443-983-3395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator