Healthcare Provider Details

I. General information

NPI: 1114856416
Provider Name (Legal Business Name): WILLIAM JONES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

737 50TH ST NE APT 415
WASHINGTON DC
20019-4837
US

IV. Provider business mailing address

737 50TH ST NE APT 415
WASHINGTON DC
20019-4837
US

V. Phone/Fax

Practice location:
  • Phone: 252-452-1772
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: