Individual
MRS. ROBERTA LYNN JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 BAKER PL, KEYSER, WV 26726-2824
(304) 788-4200
Mailing address
HC 75 BOX 172, NEW CREEK, WV 26743-9716
(304) 788-2648
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
33046
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9702095000
—
WV
Enumeration date
04/07/2008
Last updated
04/07/2008
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