Individual
MRS. BEVERLY ANNETT JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
700 CASSIDY AVE, FREDONIA, KY 42411-9207
(270) 545-3386
(270) 545-3712
Mailing address
PO BOX 195, 700 CASSIDY AVENUE, FREDONIA, KY 42411-0195
(270) 545-3386
(270) 545-3712
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1776P
KY
363LW0102X
Women's Health Nurse Practitioner
1776P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78009891
—
KY
Enumeration date
10/31/2005
Last updated
03/07/2023
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