Healthcare Provider Details

I. General information

NPI: 1821306010
Provider Name (Legal Business Name): DR. BIANCA M JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2010
Last Update Date: 03/28/2024
Certification Date: 03/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8408 CHERRY BLOSSOM DR
PICKERINGTON OH
43147-9965
US

IV. Provider business mailing address

8408 CHERRY BLOSSOM DR
PICKERINGTON OH
43147-9965
US

V. Phone/Fax

Practice location:
  • Phone: 614-313-1309
  • Fax:
Mailing address:
  • Phone: 614-313-1309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberP.08589
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5681
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberP.08589
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License NumberP.08589
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: