Basic Information
Provider Information
NPI: 1932274289
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JONES
FirstName: VIRGINIA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 NORTHLAND BLVD FL 1
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452463604
CountryCode: US
TelephoneNumber: 5136724128
FaxNumber: 5136724479
Practice Location
Address1: 2139 AUBURN AVE
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452192906
CountryCode: US
TelephoneNumber: 5136724128
FaxNumber: 5136724479
Other Information
ProviderEnumerationDate: 11/22/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X252061OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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