Individual
CLEVELAND JONES
Active
Individual
CLEVELAND JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R018657
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C000368
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157545001
—
AR
01
—
430024066
RAILROAD MEDICARE
AR
01
—
59465
BLUE CROSS BLUE SHIELD
AR
Enumeration date
09/30/2005
Last updated
06/16/2015
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