Individual
JERRY RAY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1670 SOUTH BLVD, BARABOO, WI 53913-2937
(608) 356-9318
Mailing address
1670 SOUTH BLVD, BARABOO, WI 53913-2937
(734) 660-2025
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704219859
MI
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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