Individual
LISA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 458-5570
Mailing address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(719) 339-1803
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
189964
AK
Other
Enumeration date
04/01/2022
Last updated
05/10/2022
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