Individual
JESSICA M JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
4331 S FREMONT AVE, SPRINGFIELD, MO 65804-7328
(417) 820-5010
Mailing address
4025 S HILLCREST AVE APT D203, SPRINGFIELD, MO 65807-5884
(224) 234-1988
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2018026624
MO
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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