Individual
STACY LEE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1518 FENWAY RD, CROFTON, MD 21114-1165
(304) 685-6464
Mailing address
1518 FENWAY RD, CROFTON, MD 21114-1165
(304) 685-6464
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R179115
MD
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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