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Individual

MS. LISA FAYE JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
770 N COUNTY ROAD 175 E, NORTH VERNON, IN 47265-8561
(812) 346-0092
Mailing address
770 N COUNTY ROAD 175 E, NORTH VERNON, IN 47265-8561
(812) 346-0092

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28163546A
IN
363L00000X
Nurse Practitioner
71006177A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
AG1015022
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AG1015022
AANP
IN
Enumeration date
10/05/2015
Last updated
05/17/2019
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