Individual
SUSAN NICOLE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3800 S NATIONAL AVE STE 510, SPRINGFIELD, MO 65807-5284
(417) 875-3000
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2020035901
MO
363LC0200X
Critical Care Medicine Nurse Practitioner
200927
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420108962
—
MO
Enumeration date
02/01/2021
Last updated
11/30/2022
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