Individual
CRISTI JONES
Active
Individual
CRISTI JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
085005590
IL
363AS0400X
Surgical Physician Assistant
Primary
59632
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN GROUP
IL
01
—
F400235422
MEDICARE PTAN INDIVIDUAL
IL
Enumeration date
07/30/2015
Last updated
12/22/2023
Update your record
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