Individual
BRAYTON JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
7240 SHADELAND STA, STE 300, INDIANAPOLIS, IN 46256-3928
(317) 621-1514
(317) 355-6965
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71005172A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201255260
—
IN
01
—
P01512495
RR MEDICARE
IN
Enumeration date
10/09/2014
Last updated
11/20/2015
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