Provider Demographics
NPI:1972049997
Name:JONES, APRIL MAIVHLI VANG (PA-C)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:MAIVHLI VANG
Last Name:JONES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 NOELL LN
Mailing Address - Street 2:SUITE #105
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-2058
Mailing Address - Country:US
Mailing Address - Phone:252-451-2700
Mailing Address - Fax:
Practice Address - Street 1:1041 NOELL LN
Practice Address - Street 2:SUITE #105
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-2058
Practice Address - Country:US
Practice Address - Phone:252-451-2700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-13
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-06962363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant