Provider Demographics
NPI:1255088647
Name:JIAN JONES LLC
Entity type:Organization
Organization Name:JIAN JONES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ LEAD OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:850-519-4820
Mailing Address - Street 1:2800 SOUTH ADAMS STREET
Mailing Address - Street 2:P.O. BOX 6333
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32314
Mailing Address - Country:US
Mailing Address - Phone:850-519-4820
Mailing Address - Fax:
Practice Address - Street 1:941 CRAWFORDVILLE TRACE
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32305
Practice Address - Country:US
Practice Address - Phone:850-519-4820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JIAN JONES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation