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Individual

MRS. TALISHIA MARIE JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, AGNP-C

Contact information

Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504
(330) 480-2040
(330) 480-2071
Mailing address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-2040
(330) 480-2071

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP17837
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.17837
OH
363LP2300X
Primary Care Nurse Practitioner
17837
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34-1706671
TAX I.D.
OH
Enumeration date
10/06/2015
Last updated
06/12/2018
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