Provider Demographics
NPI:1023735222
Name:JONES, TIFFANY MARCEA (MEDICAL ASSISTANT/PH)
Entity type:Individual
Prefix:MS
First Name:TIFFANY
Middle Name:MARCEA
Last Name:JONES
Suffix:
Gender:F
Credentials:MEDICAL ASSISTANT/PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2115 2ND ST NW APT 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-1649
Mailing Address - Country:US
Mailing Address - Phone:202-209-0742
Mailing Address - Fax:
Practice Address - Street 1:543 FLORIDA AVE NW APT 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-3019
Practice Address - Country:US
Practice Address - Phone:202-350-7361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-27
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant