Individual
KENNETH RAY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2100 STANTONSBURG RD # 1AD200, GREENVILLE, NC 27834-2818
(252) 847-3898
(252) 847-6255
Mailing address
3328 MISTY PINES RD, GREENVILLE, NC 27858-9013
(252) 714-5072
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
5018379
NC
Other
Enumeration date
07/03/2023
Last updated
07/09/2023
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