Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 200300287 | NC |
NPI | 1003136383 |
---|---|
Provider Name | Jamande Amin Jones |
First Address | Ahoskie, NC 27910-0669 |
Second Address | Ahoskie, NC 27910-8161 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2010 |
Last Update Date | 10/02/2014 |