Healthcare Provider Details

I. General information

NPI: 1386572998
Provider Name (Legal Business Name): CHIVIA M JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1688 SIMPSON DR
COLUMBUS OH
43227-2580
US

IV. Provider business mailing address

1688 SIMPSON DR
COLUMBUS OH
43227-2580
US

V. Phone/Fax

Practice location:
  • Phone: 614-657-7408
  • Fax:
Mailing address:
  • Phone: 614-657-7408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: