Basic Information
Provider Information
NPI: 1609814466
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JONES-IVES
FirstName: NORMA
MiddleName: LEE
NamePrefix: MR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: JONES
OtherFirstName: NORMA
OtherMiddleName: LEE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: 856 J CLYDE MORRIS BLVD
Address2: SUITE A
City: NEWPORT NEWS
State: VA
PostalCode: 236011318
CountryCode: US
TelephoneNumber: 7573165900
FaxNumber: 7575345190
Practice Location
Address1: 10510 JEFFERSON AVE
Address2: SUITE D
City: NEWPORT NEWS
State: VA
PostalCode: 236013102
CountryCode: US
TelephoneNumber: 7575944720
FaxNumber: 7575944735
Other Information
ProviderEnumerationDate: 06/03/2006
LastUpdateDate: 05/02/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X0101239725VAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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