Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 091712 | IA |
N | 222Z00000X | Podiatrist | 091712 | IA |
Y | 213ES0103X | Foot & Ankle Surgery | 244 | SD |
NPI | 1063906394 |
---|---|
Provider Name | Nephi Jones |
First Address | Brookings, SD 57006-2450 |
Second Address | Brookings, SD 57006-2450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2018 |
Last Update Date | 12/07/2021 |