Individual
MARY KATHRYN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
407 N STATE ST, CLARKS SUMMIT, PA 18411-1097
(570) 586-1134
(570) 586-1136
Mailing address
890 VIEWMONT DR, DICKSON CITY, PA 18519-1699
(570) 207-4360
(570) 383-1940
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP003760B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027889120002
—
PA
05
—
1027889120003
—
PA
05
—
1027889120005
—
PA
Enumeration date
05/31/2006
Last updated
09/20/2019
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