Provider Demographics
NPI:1215798707
Name:JONES, DEMETRIUS (CPRS)
Entity type:Individual
Prefix:MR
First Name:DEMETRIUS
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:CPRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5656A 3RD ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-2532
Mailing Address - Country:US
Mailing Address - Phone:202-916-5592
Mailing Address - Fax:
Practice Address - Street 1:5656A 3RD ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-2532
Practice Address - Country:US
Practice Address - Phone:202-916-5592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCCPRS0016175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist