Individual
LAURIE R JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTIONEER
Contact information
Practice address
11950 MACCORKLE AVE, SUITE B, CHARLESTON, WV 25315-1131
(304) 949-6010
(304) 949-6012
Mailing address
11950 MACCORKLE AVE, SUITE B, CHARLESTON, WV 25315-1131
(304) 949-6010
(304) 949-6012
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
50925
WV
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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