Provider Demographics
NPI:1568936318
Name:JONES, GREGORY D II (RN)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:D
Last Name:JONES
Suffix:II
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4326 OSO BERRY WAY NW UNIT 105
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-8192
Mailing Address - Country:US
Mailing Address - Phone:443-834-8444
Mailing Address - Fax:
Practice Address - Street 1:4326 OSO BERRY WAY NW UNIT 105
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-8192
Practice Address - Country:US
Practice Address - Phone:443-834-8444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-15
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60784261163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty