Organization
ENCLAVE FAMILY HEALTHCARE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL W JONES D.O., M.B.A. (OWNER/PHYSICIAN)
(370) 314-4394
Entity
Organization
Contact information
Practice address
3500 VILLA PT, SUITE 110, OWENSBORO, KY 42303-7825
(270) 685-3722
(270) 777-9283
Mailing address
3500 VILLA PT, SUITE 110, OWENSBORO, KY 42303-7825
(270) 685-3722
(270) 777-9283
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
KY
207Q00000X
Family Medicine Physician
Primary
017076
KY
363LF0000X
Family Nurse Practitioner
—
KY
Other
Enumeration date
06/17/2009
Last updated
12/30/2014
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