Provider Demographics
NPI:1710293188
Name:JONES, STEVEN ROBERT
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:ROBERT
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 1:6435 YORKSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:HORN LAKE
Mailing Address - State:MS
Mailing Address - Zip Code:38637-2139
Mailing Address - Country:US
Mailing Address - Phone:252-649-0058
Mailing Address - Fax:
Practice Address - Street 1:6435 YORKSHIRE RD
Practice Address - Street 2:
Practice Address - City:HORN LAKE
Practice Address - State:MS
Practice Address - Zip Code:38637-2139
Practice Address - Country:US
Practice Address - Phone:252-649-0058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)