Individual
MS. JACQUELYN MICHELLE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
246 DALE AVE, MANSFIELD, OH 44902-7717
(419) 610-9380
Mailing address
246 DALE AVE, MANSFIELD, OH 44902-7717
(419) 610-9380
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN133003MIV
OH
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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