Individual
SHELLEY MIRANDA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM-D, PA-C
Contact information
Practice address
789 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-2960
Mailing address
789 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-2960
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012425
KY
363A00000X
Physician Assistant
PA814
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95004610
—
KY
Enumeration date
05/08/2007
Last updated
04/19/2011
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