Individual
EMILY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
724 CHESTNUT CRST, COTTAGE GROVE, WI 53527-9116
(608) 219-4171
Mailing address
110 DYKSTRA DR, FALL RIVER, WI 53932-9700
(608) 219-4171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
167345-030
WI
Other
Enumeration date
10/29/2009
Last updated
11/14/2009
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