Doctor Name: | MR. GREGORY SCOTT JONES |
NPI Number: | 1023343449 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP |
License Number: | 1-098825 |
Business Practice Address: | Psc 475 Box 1 Usnh Yokosuka Fpo, AP - 963501200 |
Business Phone Number: | 01181468168721 |
Business Fax Number: | |
Mailing Address: | Psc 475 Box 1573, FPO |
State: | AP |
Postal Code: | 963501573 |
Phone Number: | 01181468168721 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2009 |
NPI Last Update Date: | 10/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-098825 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |