Healthcare Provider Details

I. General information

NPI: 1417868456
Provider Name (Legal Business Name): JENNIFER ELIZABETH JONES M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18111 NORDHOFF ST
NORTHRIDGE CA
91330-8288
US

IV. Provider business mailing address

243 W CYPRESS AVE
MONROVIA CA
91016-4013
US

V. Phone/Fax

Practice location:
  • Phone: 818-677-2856
  • Fax: 818-677-5952
Mailing address:
  • Phone: 818-677-2856
  • Fax: 818-677-5952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14482158
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: