Individual
DR. JO ANN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1065 ASHLEY ST, SUITE 200, BOWLING GREEN, KY 42103-3400
(270) 781-5111
(270) 780-0478
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 780-0478
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
TP747
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000358328
ANTHEM
KY
01
—
50008663
PASSPORT
KY
05
—
64097314
—
KY
01
—
P00289739
RAILROAD MEDICARE
KY
Enumeration date
06/23/2005
Last updated
07/02/2014
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