Provider Demographics
NPI:1881918878
Name:DERRICK D. JONES P C
Entity type:Organization
Organization Name:DERRICK D. JONES P C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DERRICK
Authorized Official - Middle Name:D
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:340-227-8813
Mailing Address - Street 1:PO BOX 306959
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00803-6959
Mailing Address - Country:US
Mailing Address - Phone:877-464-9046
Mailing Address - Fax:866-703-0255
Practice Address - Street 1:9003 HAVENSIGHT SHOPP CTR BLDG 3
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2666
Practice Address - Country:US
Practice Address - Phone:340-643-5876
Practice Address - Fax:866-703-0255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI1082207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty