Nathan William Jones

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Ruckersville, VA

NPI 1831653567 · NPPES record last updated Jan 28, 2019

Key facts

NPI
1831653567
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
55 Oak Terrace Dr
Ruckersville, VA 22968-3439
Phone
(434) 466-5809
NPI assigned
Jan 28, 2019
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

55 Oak Terrace Dr
Ruckersville, VA 22968-3439

Mailing address

55 Oak Terrace Dr
Ruckersville, VA 22968-3439
Phone (434) 466-5809

Other providers in Ruckersville, VA

All providers in Ruckersville, VA · Student in an Organized Health Care Education/Training Program in Virginia

Sources for this page

Verify at the official NPI Registry.