Individual
MS. BRANDI L JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1175 COOK RD STE 215, ORANGEBURG, SC 29118-8201
(803) 395-3837
(803) 536-5122
Mailing address
2805 DALLAS PKWY STE 640, PLANO, TX 75093-8724
(214) 983-0300
(214) 983-0301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10675
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1097061
NCCPA CERTICATE NUMBER
—
05
—
1231PA
—
SC
01
—
1477834893
NPI
SC
Enumeration date
08/30/2011
Last updated
01/11/2018
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