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Individual

LARISSA JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
108 W US HIGHWAY 40 STE 2, TROY, IL 62294-1836
(618) 391-5065
(618) 667-2779
Mailing address
18 OAKDALE LAKE CIR, GLEN CARBON, IL 62034-3238
(217) 821-5212

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016268
IL
363LF0000X
Family Nurse Practitioner
ARNP9372591
FL

Other

Enumeration date
04/09/2014
Last updated
01/06/2021
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