Individual
LISA SUE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2400 17TH ST, COLUMBUS, IN 47201-5351
(812) 376-5974
(812) 375-3203
Mailing address
411 PLAZA DR, SUITE H, COLUMBUS, IN 47201-2916
(812) 376-5974
(812) 375-3203
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71001246
IN
363LF0000X
Family Nurse Practitioner
Primary
71001246A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200531190
—
IN
01
—
P01292242
RAILROAD MEDICARE FOR CRITICAL CARE GROUP
IN
Enumeration date
05/05/2006
Last updated
06/10/2016
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