Individual
MS. STACEY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 S FRANKLIN DR, TROY, AL 36081-3838
(334) 566-9800
(334) 566-3700
Mailing address
801 S FRANKLIN DR, TROY, AL 36081-3838
(334) 566-9800
(334) 566-3700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1074574
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05151412
BLUECROSS
AL
05
—
891004000
—
AL
Enumeration date
11/16/2006
Last updated
07/08/2007
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