Individual
STEPHANIE ELIZABETH JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
332 W BROADWAY, SUITE 810, LOUISVILLE, KY 40202-2130
(502) 583-0909
(502) 583-0913
Mailing address
332 W BROADWAY, SUITE 810, LOUISVILLE, KY 40202-2130
(502) 583-0909
(502) 583-0913
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1096873
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1096873
KY RN
KY
01
—
6363A
CRNA
KY
Enumeration date
01/05/2010
Last updated
06/11/2010
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