Individual
JAMIE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
30 1ST AVE NE STE 7, BUFFALO, MN 55313-1515
(763) 400-8177
(304) 301-3047
Mailing address
30 1ST AVE NE STE 7, BUFFALO, MN 55313-1515
(763) 400-8177
(304) 301-3047
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
CNP3630
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3630
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
411952112
TAX ID
MN
Enumeration date
02/13/2015
Last updated
08/12/2024
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