Provider Demographics
NPI:1952978215
Name:JONES, JESSICA SWANN (DO)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:SWANN
Last Name:JONES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5744 MCDOWELL RUN DR
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-1309
Mailing Address - Country:US
Mailing Address - Phone:910-891-9713
Mailing Address - Fax:
Practice Address - Street 1:409 OLIN WAY STE 2300
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-9251
Practice Address - Country:US
Practice Address - Phone:704-801-4577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-07
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2024-02441208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics