Basic Information
| Provider Information | |||||||||
| NPI: | 1740720515 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | J.C.JONES COMMUNICATIONS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6738 E PALM LN | ||||||||
| Address2: | |||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852572516 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4805849579 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5314 N 7TH ST | ||||||||
| Address2: | |||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850142805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6022775006 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/27/2017 | ||||||||
| LastUpdateDate: | 02/27/2017 | ||||||||
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| AuthorizedOfficialLastName: | JIMENEZ | ||||||||
| AuthorizedOfficialFirstName: | JULIE | ||||||||
| AuthorizedOfficialMiddleName: | CHRISTINE | ||||||||
| AuthorizedOfficialTitleorPosition: | SPEECH LANGUAGE PATHOLOGIST ASSISTA | ||||||||
| AuthorizedOfficialTelephone: | 4805849579 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | SLPA9091 | AZ | Y | Agencies | Home Health |
ID Information
| ID | Type | State | Issuer | Description | SLPA9091 | 01 | AZ | SPEECH THERAPIST | OTHER |