Provider Demographics
NPI:1205267382
Name:JONES, JASMINE BRIANA (RN)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:BRIANA
Last Name:JONES
Suffix:
Gender:F
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:P.O. BOX 531
Mailing Address - Street 2:
Mailing Address - City:MAYSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28555
Mailing Address - Country:US
Mailing Address - Phone:910-330-8300
Mailing Address - Fax:
Practice Address - Street 1:3308 REHOBETH CHURCH RD APT S
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-5038
Practice Address - Country:US
Practice Address - Phone:910-330-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-27
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC255721163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse