Provider Information for 1811593585
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
JESSE CAMERON JONES
Sex: Male
NPI: 1811593585
Last Updated: 2024-07-12
Certification Date: 2024-07-12
Certification Date: 2024-07-12
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1811593585 | ||||||||||||
| Enumeration Date | 2020-12-08 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 710755 SAN DIEGO, CA 92171-0755 United States Phone: 805-223-1841 | Fax: | ||||||||||||
| Primary Practice Address | 3914 MURPHY CANYON RD STE A201 SAN DIEGO, CA 92123-4423 United States Phone: 619-988-0536 | Fax: | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|