Provider Demographics
NPI:1477598464
Name:JONES, DARNELL MAURICE (PA)
Entity type:Individual
Prefix:
First Name:DARNELL
Middle Name:MAURICE
Last Name:JONES
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 PECAN ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-2652
Mailing Address - Country:US
Mailing Address - Phone:771-444-9111
Mailing Address - Fax:
Practice Address - Street 1:1200 PECAN ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-2652
Practice Address - Country:US
Practice Address - Phone:771-444-9111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110001150363A00000X
DCPA30142363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
P08440Medicare UPIN
VA005771E14Medicare ID - Type Unspecified