Provider Demographics
NPI:1487064317
Name:HOWARD-JONES, JAMETRIA QWANICE (MD)
Entity type:Individual
Prefix:MRS
First Name:JAMETRIA
Middle Name:QWANICE
Last Name:HOWARD-JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JAMETRIA
Other - Middle Name:QWANICE
Other - Last Name:HOWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4205 BELFORT RD STE 4015
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-3623
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1503 OAK ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-3910
Practice Address - Country:US
Practice Address - Phone:904-450-8940
Practice Address - Fax:904-450-8939
Is Sole Proprietor?:No
Enumeration Date:2014-04-30
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME134312207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL023169300Medicaid