Individual
SHANE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-3809
Mailing address
9540 S CHINABERRY CIR, SANDY, UT 84092-3207
(435) 632-0837
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6815878-4405
UT
Other
Enumeration date
07/16/2014
Last updated
09/01/2014
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