Individual
MR. DWAYNE MAURICE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
163 W 125TH ST FL 12, NEW YORK, NY 10027-4436
(212) 961-8731
Mailing address
163 W 125TH ST FL 12, NEW YORK, NY 10027-4436
(212) 961-8700
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402289
NY
Other
Enumeration date
09/26/2018
Last updated
12/20/2020
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