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Individual
MS. LISA FAYE JONES
Active
Individual
MS. LISA FAYE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28163546A
IN
363L00000X
Nurse Practitioner
71006177A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
AG1015022
IN
Other
Enumeration date
10/05/2015
Last updated
05/17/2019
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