Individual
MRS. VICTORIA MICHELLE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3011837
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001354703
ANTHEM PROVIDER ID NUMBER
—
05
—
300035863
—
IN
01
—
6697404
UNITED HEALTHCARE PROVIDER ID NUMBER
—
05
—
7100513560
—
KY
01
—
CS2010400216
CARESOURCE PROVIDER ID NUMBER
—
01
—
PDZ000000439578
AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
KY
Enumeration date
01/08/2018
Last updated
10/10/2022
Update your record
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