Provider Demographics
NPI:1952340275
Name:JONES, CURTIS E (PA-C)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:E
Last Name:JONES
Suffix:
Gender:M
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:PO BOX 425
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NE
Mailing Address - Zip Code:68967-0425
Mailing Address - Country:US
Mailing Address - Phone:308-824-3288
Mailing Address - Fax:308-824-3239
Practice Address - Street 1:811 HOWELL ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NE
Practice Address - Zip Code:68967
Practice Address - Country:US
Practice Address - Phone:308-824-3288
Practice Address - Fax:308-824-3239
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE447363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025412200Medicaid
NE10025411700Medicaid
NEP00340972OtherRAILROAD MEDICARE
NE279923Medicare PIN
NE10025411700Medicaid