Individual
COLLENE LATOYA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Mailing address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
204882
SC
363LF0000X
Family Nurse Practitioner
Primary
22435
SC
Other
Enumeration date
09/24/2019
Last updated
11/03/2022
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