Individual
DR. BEVERLY NICHOLAS JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3111 MAPLEWOOD AVE, SUITE 105, WINSTON SALEM, NC 27103-3906
(336) 659-8817
(336) 659-7799
Mailing address
3111 MAPLEWOOD AVE, SUITE 105, WINSTON SALEM, NC 27103-3906
(336) 659-8817
(336) 659-7799
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
93-00168
NC
2084P0805X
Geriatric Psychiatry Physician
93-00168
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8946779
—
NC
Enumeration date
04/18/2006
Last updated
03/16/2023
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