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Individual
MS. TILLIE MARIA JONES
Active
Individual
MS. TILLIE MARIA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NR07126800
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00474100
NJ
363LA2200X
Adult Health Nurse Practitioner
R223947
MD
363LA2200X
Adult Health Nurse Practitioner
SP015266
PA
363LG0600X
Gerontology Nurse Practitioner
26NJ00474100
NJ
363LP2300X
Primary Care Nurse Practitioner
SP015266
PA
Other
Enumeration date
01/03/2014
Last updated
06/18/2018
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