Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | MD046191 | DC |
NPI | 1114330305 |
---|---|
Provider Name | Nathaniel Kristopher Jones |
First Address | Washington, DC 20010-2916 |
Second Address | Washington, DC 20010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2014 |
Last Update Date | 14/09/2018 |