Active NPI
Jennifer Leigh Jones, REGISTERED NURSE
- Psychiatric/Mental Health Registered Nurse
- Ashtabula, OH
National Provider Identifier
1033979653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 356744
- Practice address
- 4510 Collins Blvd Ste 2
Ashtabula, OH 44004-6954 - Phone
- (866) 534-2639
- NPI assigned
- Mar 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 356744 | OH | Primary |
Addresses
Primary practice location
4510 Collins Blvd Ste 2
Ashtabula, OH 44004-6954
Mailing address
2151 Old Mill Rd
Madison, OH 44057-1732
Phone (440) 417-5660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 356744 | OH | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1033979653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2151 OLD MILL RD",
"city": "MADISON",
"state": "OH",
"postal_code": "440571732",
"telephone_number": "440-417-5660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 COLLINS BLVD STE 2",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440046954",
"telephone_number": "866-534-2639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JENNIFER",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-20",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "OH",
"license": "356744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashtabula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.