Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 10612 | MS |
NPI | 1013944214 |
---|---|
Provider Name | Dr. Virginia A Jones |
First Address | Jackson, MS 39202-1687 |
Second Address | Jackson, MS 39202-1687 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 19/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0016786 | (05) | MS |
B30991 | (02) |