NPI 1912965864 · live from the CMS NPI Registry
Elaine Celeste Jones, MD
Psychiatry & Neurology, Neurology in Fort Wayne, IN. National Provider Identifier 1912965864, active.
NPI record
| NPI | 1912965864 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845 |
| Practice phone | 260-425-6780 |
| Mailing address | 814 Metacom Ave, Bristol, RI 02809 |
| Enumerated | May 2, 2006 |
| Last updated | July 1, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 01075283A (IN) |
| Psychiatry & Neurology, Neurology | 2084N0400X | MD10088 (RI) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 156060 (MA) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 0101259560 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.