Individual provider · NPI-1

Jordan E Jones, DO

Internal Medicine · Espanola, NM

NPI number1891444337
StatusActive
Last updated in NPPESJul 4, 2025

Details

NPI
1891444337
Entity type
Individual (NPI-1)
Name
Jordan E Jones
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Mar 22, 2022
Certification date
Jul 4, 2025
Last updated
Jul 4, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineDO2025-0090NMYes
207L00000X Anesthesiology113353MT
207R00000X Internal MedicineMED-RES-LIC-113353MT
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1010 Spruce St Fl 2
Espanola, NM 87532-2724

Phone 505-367-0340 · Fax 505-367-0346

Mailing address

Po Box 26666
Albuquerque, NM 87125-6666

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