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Individual

JAMES LEWIS JONES JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ACNP

Contact information

Practice address
550 E 1400 N, SUITE J, NORTH LOGAN, UT 84341-2406
(435) 753-1171
(435) 792-4464
Mailing address
PO BOX 529, PRESTON, ID 83263-0529
(208) 851-0460

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
8298298-4408
UT

Other

Enumeration date
06/14/2012
Last updated
06/14/2012
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