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Individual
LUCY AS AYESHA JONES
Active
Individual
LUCY AS AYESHA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PUBLIC HEALTH NURSE
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201407111RN
OR
163WC1500X
Community Health Registered Nurse
201407111RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201407111RN
REGISTERED NURSE
OR
Enumeration date
06/28/2016
Last updated
06/08/2017
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