Provider Demographics
NPI:1275396467
Name:JONES, RONALD EUGENE
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:EUGENE
Last Name:JONES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10544 CINNAMON DR APT N
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63114-1245
Mailing Address - Country:US
Mailing Address - Phone:870-270-1267
Mailing Address - Fax:
Practice Address - Street 1:10544 CINNAMON DR APT N
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63114-1245
Practice Address - Country:US
Practice Address - Phone:870-270-1267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide