1356856108 NPI number — MR. ROBERT CHARLES JONES III APRN, FNP-C

Table of content: MR. ROBERT CHARLES JONES III APRN, FNP-C (NPI 1356856108)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356856108 NPI number — MR. ROBERT CHARLES JONES III APRN, FNP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES
Provider First Name:
ROBERT
Provider Middle Name:
CHARLES
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
III
Provider Credential Text:
APRN, FNP-C
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356856108
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/27/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
800 WHEELING AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GLEN DALE
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
26038-1697
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-845-3211
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
108 EOFF ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BENWOOD
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26031-1007
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-221-3014
Provider Business Practice Location Address Fax Number:
304-221-3015
Provider Enumeration Date:
12/01/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  APRN.CNP.021899 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: APRN78703-NP-C , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0285167 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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