Individual
MRS. MAXINE ELISE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
321 GENESEE ST, ONEIDA, NY 13421-2611
(315) 363-6000
Mailing address
321 GENESEE ST, ONEIDA, NY 13421-2611
(315) 363-6000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305128
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03187973
—
NY
Enumeration date
06/17/2009
Last updated
10/02/2020
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