Healthcare Provider Details

I. General information

NPI: 1124958889
Provider Name (Legal Business Name): EMMA ELISE JONES MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1813 GRAND ISLE CIR APT 214A
ORLANDO FL
32810-6340
US

IV. Provider business mailing address

1813 GRAND ISLE CIR APT 214A
ORLANDO FL
32810-6340
US

V. Phone/Fax

Practice location:
  • Phone: 214-901-3129
  • Fax:
Mailing address:
  • Phone: 214-901-3129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: