Provider Demographics
NPI:1992163935
Name:JONES, JASON (CSFA)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11117 JOHNS BAYOU RD
Mailing Address - Street 2:
Mailing Address - City:VANCLEAVE
Mailing Address - State:MS
Mailing Address - Zip Code:39565-8857
Mailing Address - Country:US
Mailing Address - Phone:601-896-1093
Mailing Address - Fax:
Practice Address - Street 1:11117 JOHNS BAYOU RD
Practice Address - Street 2:
Practice Address - City:VANCLEAVE
Practice Address - State:MS
Practice Address - Zip Code:39565-8857
Practice Address - Country:US
Practice Address - Phone:601-896-1093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-04
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant