Individual
JASON E JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3511 W MARKET ST, SUITE 100, GREENSBORO, NC 27403-4443
(336) 632-3505
(336) 632-3503
Mailing address
3511 W MARKET ST, SUITE 100, GREENSBORO, NC 27403-4443
(336) 632-3505
(336) 632-3503
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
201001483
NC
2084P0800X
Psychiatry Physician
D0057922
MD
2084P0804X
Child & Adolescent Psychiatry Physician
MD435092
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161K5
BCBS
NC
05
—
401953900
—
MD
05
—
5917724
—
NC
Enumeration date
07/26/2006
Last updated
07/04/2014
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