Provider Demographics
NPI:1386529246
Name:JONES-TESSU, NORA
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:
Last Name:JONES-TESSU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NORA
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 64765
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4765
Mailing Address - Country:US
Mailing Address - Phone:410-528-5710
Mailing Address - Fax:410-528-3510
Practice Address - Street 1:405 W REDWOOD ST FL 5
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-7008
Practice Address - Country:US
Practice Address - Phone:410-528-5710
Practice Address - Fax:410-328-3510
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-09
Last Update Date:2025-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD251S00000X251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0123456AOtherUPIN