Tyler John Jones
Community Health Worker in Winston Salem, NC. Individual provider (NPI-1).
NPI number1124548037
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1124548037
- Entity type
- Individual (NPI-1)
- Name
- Tyler John Jones
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
7014 Brandemere Ln. Apt FWinston Salem, NC 27106
Phone 336-252-8202
Mailing address
7014 Brandemere Ln Apt FWinston Salem, NC 27106-6430
Phone 336-252-8202
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