Healthcare Provider Details

I. General information

NPI: 1881918878
Provider Name (Legal Business Name): DERRICK D. JONES P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2010
Last Update Date: 03/15/2023
Certification Date: 03/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9003 HAVENSIGHT SHOPP CTR BLDG 3
ST THOMAS VI
00802-2666
US

IV. Provider business mailing address

PO BOX 306959
ST THOMAS VI
00803-6959
US

V. Phone/Fax

Practice location:
  • Phone: 340-643-5876
  • Fax: 866-703-0255
Mailing address:
  • Phone: 877-464-9046
  • Fax: 866-703-0255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number1082
License Number StateVI

VIII. Authorized Official

Name: DR. DERRICK D JONES
Title or Position: PRESIDENT
Credential: M.D.
Phone: 340-227-8813