Individual
MS. STACY EVE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4118 MCGRAW NORTH RD, MC GRAW, NY 13101-9542
(607) 423-9245
Mailing address
4118 MCGRAW NORTH RD, MC GRAW, NY 13101-9542
(607) 423-9245
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
295092-1
NY
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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