Provider Demographics
NPI:1972782811
Name:JONES, ERNEST BOYD JR
Entity type:Individual
Prefix:
First Name:ERNEST
Middle Name:BOYD
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 1:93 ESTALL RD APT 2
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14616-3844
Mailing Address - Country:US
Mailing Address - Phone:585-354-4585
Mailing Address - Fax:585-527-8849
Practice Address - Street 1:47 ROWLEY ST
Practice Address - Street 2:APT 2
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-2619
Practice Address - Country:US
Practice Address - Phone:585-820-2937
Practice Address - Fax:585-271-7948
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-28
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY285334-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse