Individual
AMY D JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3991 DUTCHMANS LN, STE.310, LOUISVILLE, KY 40207-4700
(502) 899-6782
(502) 899-6783
Mailing address
4004 DUPONT CIR STE 220, LOUISVILLE, KY 40207-4819
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
42911
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000513726
ANTHEM
KY
01
—
085595
SIHO
KY
05
—
7100048190
—
KY
01
—
P00710139
RAILROAD MEDICARE KY
KY
Enumeration date
11/30/2006
Last updated
07/02/2019
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