Jerry Travis Jones in Stockton - Psychiatry

Jerry Travis Jones - NPI 1144330572

Jerry Travis Jones is a Psychiatry in Stockton, California. Jerry Travis Jones practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Jerry Travis Jones is 1144330572. The last update date is 2007-07-08.

Jerry Travis Jones's current location address is 2522 Grand Canal Blvd, Stockton, California. You can contact this provider via phone number 2099514666 and fax number 2099515829. The mailing address for Jerry Travis Jones is 2522 Grand Canal Blvd, Stockton, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry Travis Jones
Address 2522 Grand Canal Blvd, Stockton, California
Phone Number 2099514666
Fax Number 2099515829
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1144330572
Provider Enumeration Date 2006-08-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2522 Grand Canal Blvd
City Stockton
State California (CA)
Post Code 952078213
Phone Number 2099514666
Fax Number 2099515829

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No A23838
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A238380 CA --

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FAQs about Jerry Travis Jones

What is the Jerry Travis Jones's unique identification number?

The Jerry Travis Jones has been assigned the NPI (National Provider Identifier) Number 1144330572 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Jerry Travis Jones is geographically located?

The Jerry Travis Jones is physically situated at the following location: 2522 Grand Canal Blvd, Stockton, CA, 952078213.

What is the Jerry Travis Jones's specialty and taxonomy code?

The Jerry Travis Jones's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.

On what date did the Centers for Medicare & Medicaid Services issue the 1144330572 to Jerry Travis Jones?

The Jerry Travis Jones received its 1144330572 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.

As of what date was the information pertaining to Jerry Travis Jones, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jerry Travis Jones, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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