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MRS. VICTORIA MICHELLE JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
9390 BUNSEN PKWY, LOUISVILLE, KY 40220-3789
(833) 358-2278
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780

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
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