MEDICARE: CHRISTOPHER ALAN JONES PA C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	001000163	NC
2	363AM0700X	Medical Physician Assistant	9100972	FL

General Provider Information

NPI Number	:	1639162092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER ALAN JONES PA C

Provider Business Mailing Address
First Line	:	625 TAMIAMI TRL N STE 103
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-8143
Country	:	US
Telephone Number	:	239-643-9977
Fax Number	:	239-643-3424

Provider Business Practice Location Address
First Line	:	625 TAMIAMI TRL N STE 103
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-8143
Country	:	US
Telephone Number	:	239-643-9977
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	05/01/2019

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