Healthcare Provider Details

I. General information

NPI: 1306624788
Provider Name (Legal Business Name): SIMONE JONES CNA QMHS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2023
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

548 W STATE ST APT 205
COLUMBUS OH
43215-4457
US

IV. Provider business mailing address

548 W STATE ST APT 205
COLUMBUS OH
43215-4457
US

V. Phone/Fax

Practice location:
  • Phone: 614-382-9802
  • Fax:
Mailing address:
  • Phone: 614-382-9802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: