Jones, Beverly Nicholas
Jones, Beverly Nicholas is an individual health care provider with primary practice located at 3111 Maplewood Ave Suite 105, Winston Salem NC 27103-3906. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Jones, Beverly Nicholas can be contacted via phone (336) 659-8817.Contact Information
Primary practice address
3111 Maplewood Ave Suite 105
Winston Salem NC 27103-3906
Phone: (336) 659-8817
Fax: (336) 659-7799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 93-00168 | North Carolina |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 93-00168 | North Carolina |
Profile Details
| NPI number | 1801851506 |
|---|---|
| LBN Legal business name | Jones, Beverly Nicholas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Mar 16th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801851506 | NPPES |
| North Carolina | MEDICAID | 8946779 |
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