Individual
KELLIE SUE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1150 N COLE ST, BUSHNELL, IL 61422-9503
(309) 772-2255
Mailing address
530 MEADOW DR, MACOMB, IL 61455-9320
(641) 218-4961
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.028265
IL
Other
Enumeration date
08/04/2023
Last updated
09/19/2023
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