Individual
JERROMY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1201 HEALTH CENTER PKWY, YUKON, OK 73099-6381
(405) 717-6800
(405) 717-7964
Mailing address
4301 MOW WAY ROAD, FORT SILL, OK 73503-6300
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
67464
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200097480A
—
OK
Enumeration date
10/23/2006
Last updated
08/10/2017
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