Individual
JEFFREY EZRA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9000 WOODYARD RD, CLINTON, MD 20735-4206
(240) 546-3428
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005921
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1121403
NCCPA
MD
Enumeration date
10/16/2015
Last updated
02/10/2022
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