Individual
TRACI MICHELLE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP - BC
Contact information
Practice address
4 DEERWOOD AVE NW, WADENA, MN 56482-1253
(218) 631-1360
Mailing address
25353 151ST AVE, SEBEKA, MN 56477-2712
(218) 396-0449
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6773
MN
Other
Enumeration date
07/29/2019
Last updated
04/22/2020
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