Individual
BRIAN W JONES
Active
Individual
BRIAN W JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209005050
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041288218
RN LICENSE
IL
01
—
053664
CCNA CERTIFICATION
—
Enumeration date
04/03/2006
Last updated
07/17/2013
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