Provider Demographics
NPI:1538184171
Name:JONES, DEBORAH (NNP)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:NNP
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 80007
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93912-0007
Mailing Address - Country:US
Mailing Address - Phone:831-755-4111
Mailing Address - Fax:831-755-4087
Practice Address - Street 1:1441 CONSTITUTION BLVD
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-3100
Practice Address - Country:US
Practice Address - Phone:831-755-4111
Practice Address - Fax:831-755-4087
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16343363LN0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHSP40248FMedicaid
CAHSP40248FMedicaid
CAHSP40248FMedicaid
CAZZZ93296ZMedicare ID - Type UnspecifiedCOUNTY OF MONTEREY NMC