Basic Information
| Provider Information | |||||||||
| NPI: | 1194305953 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JONES | ||||||||
| FirstName: | CHERYL | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | H.I.S. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1998 BARRETT CT STE C | ||||||||
| Address2: | |||||||||
| City: | HENDERSON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 424202668 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2708691881 | ||||||||
| FaxNumber: | 2708699341 | ||||||||
| Practice Location | |||||||||
| Address1: | 1998 BARRETT CT STE C | ||||||||
| Address2: | |||||||||
| City: | HENDERSON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 424202668 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2708691881 | ||||||||
| FaxNumber: | 2708699341 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/14/2021 | ||||||||
| LastUpdateDate: | 04/14/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/14/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | 163413 | KY | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.