Healthcare Provider Details

I. General information

NPI: 1720780406
Provider Name (Legal Business Name): KERRY-ANN DENISE JONES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KERRY-ANN DENISE WILLIAMS

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 J CLYDE MORRIS BLVD
NEWPORT NEWS VA
23601-1929
US

IV. Provider business mailing address

856 J CLYDE MORRIS BLVD STE A
NEWPORT NEWS VA
23601-1318
US

V. Phone/Fax

Practice location:
  • Phone: 757-594-3580
  • Fax:
Mailing address:
  • Phone: 757-316-5800
  • Fax: 757-534-5190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207RA0000X
TaxonomyAdolescent Medicine (Internal Medicine) Physician
License Number35445
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number1720780406
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: