Individual
RUSSELL D JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1965 S FREMONT AVE STE 350, SPRINGFIELD, MO 65804-2295
(417) 820-3500
Mailing address
1965 S FREMONT AVE STE 350, SPRINGFIELD, MO 65804-2295
(417) 820-3500
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
A810608
MS
363LF0000X
Family Nurse Practitioner
Primary
2021006449
MO
363LF0000X
Family Nurse Practitioner
C-APN.0000647-C-NP
CO
Other
Enumeration date
08/13/2014
Last updated
09/02/2022
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