Individual
MR. CASEY NICHOLAS JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11530 PROVIDENCE RD STE 1300, CHARLOTTE, NC 28277-2691
(704) 863-4878
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10257
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/18/2019
Last updated
04/28/2025
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