Healthcare Provider Details

I. General information

NPI: 1124949672
Provider Name (Legal Business Name): QIANA MIA JONES CPRP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: QIANA MIA HOLMES CPRP

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11299 OWINGS MILLS BLVD SUITE 204
OWINGS MILLS MD
21117
US

IV. Provider business mailing address

849 FAIRMOUNT AVE STE 200
TOWSON MD
21286-2693
US

V. Phone/Fax

Practice location:
  • Phone: 410-581-9150
  • Fax: 410-581-9156
Mailing address:
  • Phone: 443-360-8524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: