Individual
KELSEY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1412 NATHANIEL DR, LEBANON, MO 65536-8906
(417) 576-4074
Mailing address
1412 NATHANIEL DR, LEBANON, MO 65536-8906
(417) 576-4074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020018629
MO
Other
Enumeration date
05/09/2020
Last updated
08/26/2020
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