Provider Demographics
NPI:1114299450
Name:JONES, GARY W (RN)
Entity Type:Individual
Prefix:MR
First Name:GARY
Middle Name:W
Last Name:JONES
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:95 N MAIN ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WELLSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14895-1280
Mailing Address - Country:US
Mailing Address - Phone:585-593-9410
Mailing Address - Fax:585-593-9411
Practice Address - Street 1:95 N MAIN ST
Practice Address - Street 2:SUITE 104
Practice Address - City:WELLSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14895-1280
Practice Address - Country:US
Practice Address - Phone:585-593-9410
Practice Address - Fax:585-593-9411
Is Sole Proprietor?:No
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY508183-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health