| Doctor Name: | DR. PENOLA P JONES |
| NPI Number: | 1689632424 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 35-050195 |
| Business Practice Address: | 2500 W Strub Rd Suite 230 Sandusky, OH - 448705390 |
| Business Phone Number: | 4196252541 |
| Business Fax Number: | 4196251299 |
| Mailing Address: | Po Box 378, SANDUSKY |
| State: | OH |
| Postal Code: | 448710378 |
| Phone Number: | 4196091112 |
| Fax Number: | 4196091123 |
| NPI Enumeration Date: | 05/02/2006 |
| NPI Last Update Date: | 05/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 35-050195 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |