Individual
SHANNON R JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 NORTH BARKER AVENUE, EVANSVILLE, IN 47712
(812) 423-4418
(812) 422-7558
Mailing address
415 MULBERRY STREET, EVANSVILLE, IN 47713-1298
(812) 423-7791
(812) 422-7558
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01052640A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01052640A
LICENSE
IN
Enumeration date
08/18/2006
Last updated
07/08/2007
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