Provider Demographics
NPI:1386322394
Name:JONES, DAVID EUGENE
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:EUGENE
Last Name:JONES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 GALE ST APT 1
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44302-1446
Mailing Address - Country:US
Mailing Address - Phone:330-849-0287
Mailing Address - Fax:
Practice Address - Street 1:118 GALE ST APT 1
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44302-1446
Practice Address - Country:US
Practice Address - Phone:330-849-0287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty