| Doctor Name: | MR. DAVID L JONES |
| NPI Number: | 1346275468 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP-C |
| License Number: | R35081 |
| Business Practice Address: | 320 S Avenue A Portales, NM - 881306278 |
| Business Phone Number: | 5053564643 |
| Business Fax Number: | 5053596856 |
| Mailing Address: | 320 S Avenue A, PORTALES |
| State: | NM |
| Postal Code: | 881306278 |
| Phone Number: | 5053564643 |
| Fax Number: | 5053596856 |
| NPI Enumeration Date: | 07/11/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R35081 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |