Healthcare Provider Details

I. General information

NPI: 1982226346
Provider Name (Legal Business Name): MS. ASHLEY A JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2020
Last Update Date: 10/09/2026
Certification Date: 02/15/2022
Deactivation Date: 02/15/2022
Reactivation Date: 10/09/2026

III. Provider practice location address

6095 PINE MOUNTAIN RD NW STE 105
KENNESAW GA
30152-3332
US

IV. Provider business mailing address

6095 PINE MOUNTAIN RD NW STE 105
KENNESAW GA
30152-3332
US

V. Phone/Fax

Practice location:
  • Phone: 678-217-7529
  • Fax:
Mailing address:
  • Phone: 678-217-7529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: