Basic Information
Provider Information
NPI: 1447220231
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JONES
FirstName: JANINE
MiddleName: CORBITT
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 110 CLUBHOUSE DR
Address2:  
City: NICHOLASVILLE
State: KY
PostalCode: 403569138
CountryCode: US
TelephoneNumber: 8592238623
FaxNumber:  
Practice Location
Address1: UNIVERSITY HEALTH SERVICE
Address2: KENTUCKY CLINIC B-163
City: LEXINGTON
State: KY
PostalCode: 405360284
CountryCode: US
TelephoneNumber: 8593235823
FaxNumber: 8593231119
Other Information
ProviderEnumerationDate: 01/24/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X21414KYY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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