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Individual

OLIVIA M JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1032 CROSSWINDS CT, WENTZVILLE, MO 63385
(636) 332-6000
(636) 332-9950
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2012009658
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2013029743
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043511215
MO
Enumeration date
11/04/2010
Last updated
05/22/2018
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