Individual
MR. JIMMY LEE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
1019 N LAFAYETTE ST, SUITE 1, SHELBY, NC 28150-3834
(704) 487-9766
(704) 487-9891
Mailing address
1019 N LAFAYETTE ST, SUITE 1, SHELBY, NC 28150-3834
(704) 487-9766
(704) 487-9891
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
900403
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
561884447
GROUP
—
Enumeration date
07/31/2006
Last updated
02/11/2020
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