Individual
MARY A JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 BROWNS LN, LOUISVILLE, KY 40207-4040
(502) 259-9909
Mailing address
400 BROWNS LN, LOUISVILLE, KY 40207-4040
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
1028313
KY
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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