Provider Demographics
NPI:1588706170
Name:JONES, RAYMOND SCOTT (RN)
Entity type:Individual
Prefix:
First Name:RAYMOND
Middle Name:SCOTT
Last Name:JONES
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:RAY
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:720 WOOD ST
Mailing Address - Street 2:HUMBOLDT COUNTY MENTAL HEALTH BRANCH
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-4413
Mailing Address - Country:US
Mailing Address - Phone:707-476-4094
Mailing Address - Fax:707-476-4066
Practice Address - Street 1:720 WOOD ST
Practice Address - Street 2:HUMBOLDT COUNTY MENTAL HEALTH BRANCH
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-4413
Practice Address - Country:US
Practice Address - Phone:707-476-4094
Practice Address - Fax:707-476-4066
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2008-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA534479163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health