Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 20A6500 | CA |
Y | 2084N0400X | Neurologist | 20A6500 | CA |
N | 2084N0400X | Neurologist | DO205627 | OR |
NPI | 1073642773 |
---|---|
Provider Name | H James Jones |
First Address | Fresno, CA 93721-1431 |
Second Address | Fresno, CA 93701-2234 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 20/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00AX65000 | (05) | CA |
20A6500 | CALIFORNIA LICENSE (01) | CA |