Doctor Name: | JAMES LEWIS JONES |
NPI Number: | 1184986101 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ACNP |
License Number: | 8298298-4408 |
Business Practice Address: | 550 E 1400 N Suite J North Logan, UT - 843412406 |
Business Phone Number: | 4357531171 |
Business Fax Number: | 4357924464 |
Mailing Address: | Po Box 529, PRESTON |
State: | ID |
Postal Code: | 832630529 |
Phone Number: | 2088510460 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2012 |
NPI Last Update Date: | 06/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 8298298-4408 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |