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Individual

MRS. LISA MAE JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Taxonomy

Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
A-127643
IA
364SF0001X
Family Health Clinical Nurse Specialist
Primary
APN0000015692
TN

Other

Enumeration date
04/08/2011
Last updated
06/09/2011
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