Doctor Name: | MS. STEPHANIE JONES |
NPI Number: | 1285035360 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | |
Business Practice Address: | 110 Sw 21st St Oak Island, NC - 284657405 |
Business Phone Number: | 9104711105 |
Business Fax Number: | |
Mailing Address: | 110 Sw 21st St, OAK ISLAND |
State: | NC |
Postal Code: | 284657405 |
Phone Number: | 9104711105 |
Fax Number: | |
NPI Enumeration Date: | 09/09/2014 |
NPI Last Update Date: | 09/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Family |
Taxonomy Definition: |