Individual
MR. CLIFFORD JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
8911 E ORME ST, SUITE A, WICHITA, KS 67207-2423
(316) 686-7884
(316) 686-0036
Mailing address
8911 E ORME ST, SUITE A, WICHITA, KS 67207-2423
(316) 686-7884
(316) 686-0036
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
13-41899-092
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
74633
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100457120B
—
KS
Enumeration date
11/01/2006
Last updated
09/18/2013
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