Provider Demographics
NPI:1407603038
Name:JONES, ISRAEL A JR
Entity type:Individual
Prefix:
First Name:ISRAEL
Middle Name:A
Last Name:JONES
Suffix:JR
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 1:2900 14TH ST NW APT 811
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-6813
Mailing Address - Country:US
Mailing Address - Phone:202-902-3965
Mailing Address - Fax:
Practice Address - Street 1:2900 14TH ST NW APT 811
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-6813
Practice Address - Country:US
Practice Address - Phone:202-902-3965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant