Provider Demographics
NPI:1801987144
Name:JONES, PATRICIA MCCALL (APN)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:MCCALL
Last Name:JONES
Suffix:
Gender:F
Credentials:APN
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Mailing Address - Street 1:3521 SILVERSIDE ROAD STE 1F
Mailing Address - Street 2:BRANDYWINE PEDIATRICS
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4917
Mailing Address - Country:US
Mailing Address - Phone:302-478-2613
Mailing Address - Fax:302-478-2637
Practice Address - Street 1:3521 SILVERSIDE RD STE 1F
Practice Address - Street 2:BRANDYWINE PEDIATRICS
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4917
Practice Address - Country:US
Practice Address - Phone:302-478-2613
Practice Address - Fax:302-478-2637
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DELJ0000170363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE100842Medicaid
DE100842Medicaid