Individual provider · Type 1 NPI
Jack Wilbur Jones Iii
Surgical Physician Assistant · Sacramento, CA
NPI number
1689233256
Active
Practice location
2825 Capitol Ave
Sacramento, CA 95816-6039
Mailing address
8288 Caribbean Way
Sacramento, CA 95826-1665
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA56807 (CA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1689233256
Jack Wilbur Jones Iii's National Provider Identifier is 1689233256, issued on Jun 7, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Sacramento, CA. The record was last updated on Dec 28, 2021.