Individual
EVAN S. JONES
Active
Individual
EVAN S. 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
ARNP9248002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0064980 00
—
FL
01
—
G011M
BCBS
FL
01
—
P01113649
RAILROAD MEDICARE
—
01
—
XXX-XX-4816
CHAMPUS TRICARE - SOUTH REGION
—
Enumeration date
05/17/2012
Last updated
06/03/2013
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