Individual
AMANI DIVINE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12200 WARWICK BLVD STE 290, NEWPORT NEWS, VA 23601-2344
(757) 534-5454
Mailing address
1008 INNIS DR, FREDERICKSBURG, VA 22401-6624
(910) 554-9334
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009604
VA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/12/2023
Last updated
11/28/2023
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