Doctor Name: | JASON COREY JONES |
NPI Number: | 1629037106 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | MA0560872 |
Business Practice Address: | 250 King Of Prussia Rd Radnor, PA - 190875220 |
Business Phone Number: | 6109022500 |
Business Fax Number: | |
Mailing Address: | 3624 Market St, Suite 560w PHILADELPHIA |
State: | PA |
Postal Code: | 191042614 |
Phone Number: | 2156622286 |
Fax Number: | 2156150500 |
NPI Enumeration Date: | 03/22/2006 |
NPI Last Update Date: | 10/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA0560872 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |