Healthcare Provider Details

I. General information

NPI: 1700792546
Provider Name (Legal Business Name): TRE-QUAN DARNELL JONES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 TAYLOR ST NE APT 21F
WASHINGTON DC
20017-4332
US

IV. Provider business mailing address

116 T ST NE APT 128
WASHINGTON DC
20002-5125
US

V. Phone/Fax

Practice location:
  • Phone: 240-605-7459
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374700000X
TaxonomyTechnician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: