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Individual
PHYLLIS JONES
Active
Individual
PHYLLIS JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
290247
NC
363LF0000X
Family Nurse Practitioner
Primary
R093435
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011
CAREFIRST
—
05
—
345202600
—
MD
01
—
6033167001
CIGNA
—
01
—
60851801
CAREFIRST
—
Enumeration date
02/21/2006
Last updated
11/09/2016
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