Benjamin L Jones, PA-C
Physician Assistant in Pueblo, CO. Individual provider (NPI-1).
NPI number1952829343
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1952829343
- Entity type
- Individual (NPI-1)
- Name
- Benjamin L Jones
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2017
- Certification date
- Jul 1, 2021
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA.0005786 | CO | Yes |
| 164W00000X | Licensed Practical Nurse | LPN.164931.MEDS-IV | OH | |
| 363A00000X | Physician Assistant | 50005301RX | OH |
Practice location
400 W 16th StPueblo, CO 81003-2781
Phone 719-584-4306 · Fax 719-595-7886
Mailing address
Po Box 173891Denver, CO 80217-3891
Phone 303-306-7783 · Fax 303-306-7753
Other practice locations
830 W High St Ste 360
Lima, OH 45801-3985
Lima, OH 45801-3985
Phone 419-227-7117
1400 E Boulder St
Colorado Springs, CO 80909-5533
Colorado Springs, CO 80909-5533
Phone 719-365-6820 · Fax 719-365-6595
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