Individual
MRS. EBONEE OTEELE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1977 EAGLE WAY, MANASSAS, VA 20110-5797
(757) 771-8554
Mailing address
1977 EAGLE WAY, MANASSAS, VA 20110-5797
(757) 771-8554
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
0001264982
VA
363LF0000X
Family Nurse Practitioner
Primary
0024188916
VA
Other
Enumeration date
04/27/2023
Last updated
12/22/2023
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