Individual
KALLI M JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2844 W EDGEWOOD DR, PORT ANGELES, WA 98363-9510
(360) 460-9493
Mailing address
2844 W EDGEWOOD DR, PORT ANGELES, WA 98363-9510
(360) 460-9493
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
14383
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60691562
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516075
—
TN
Enumeration date
10/26/2009
Last updated
03/28/2017
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