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Individual

KAYCE NICHOLS JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
2120 AIRLINE DR, BOSSIER CITY, LA 71111-3106
(318) 742-6900
(318) 742-3900
Mailing address
103 WATTS ST, JONESBORO, LA 71251-2053
(318) 259-1569
(318) 259-8523

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
300212
LA
363AM0700X
Medical Physician Assistant
Primary
300212
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
300212
LICENSE #
LA
Enumeration date
10/15/2015
Last updated
02/09/2024
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