Individual
KASI CHE'DON JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1034 HANOVER RD, DAVIS, OK 73030-9545
(580) 247-5936
Mailing address
1034 HANOVER RD, DAVIS, OK 73030-9545
(580) 247-5936
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
108875
OK
363LF0000X
Family Nurse Practitioner
108875
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108875
OKLAHOMA STATE BOARD OF NURSING
OK
Enumeration date
08/09/2017
Last updated
06/14/2023
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