Individual
MR. MATTHEW ROBERT JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
509 HAMACHER ST STE 202, WATERLOO, IL 62298-1592
(618) 939-4200
(618) 939-4256
Mailing address
509 HAMACHER ST STE 202, WATERLOO, IL 62298-1592
(618) 939-4200
(618) 939-4256
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209013655
IL
363LA2100X
Acute Care Nurse Practitioner
2013004685
MO
363LA2100X
Acute Care Nurse Practitioner
209013655
IL
Other
Enumeration date
02/21/2013
Last updated
01/31/2023
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