Individual
ANGELA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5380 W FOND DU LAC AVE, MILWAUKEE, WI 53216-1366
(414) 536-6690
Mailing address
5380 W FOND DU LAC AVE, MILWAUKEE, WI 53216-1366
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7357-33
WI
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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