Individual
TARA MARIE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AG ACNP-BC
Contact information
Practice address
3 AUDUBON PLAZA DR STE 220, LOUISVILLE, KY 40217-1319
(502) 636-7242
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3012165
KY
Other
Enumeration date
03/13/2018
Last updated
04/24/2024
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