Individual
GARY D JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5454 DISCOVERY PARK BLVD. BLDG. A, 101, WILLIAMSBURG, VA 23188
(757) 707-3505
Mailing address
860 OMNI BLVD, STE 303, NEWPORT NEWS, VA 23606-4477
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
086610
IA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024168149
VA
367500000X
Certified Registered Nurse Anesthetist
D086610
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11336
BLUE CROSS
IA
Enumeration date
06/06/2006
Last updated
03/17/2018
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