Individual
BRANDY ANN JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADULT-GERONTOLOGY NP
Contact information
Practice address
775 POLE LINE RD W, TWIN FALLS, ID 83301-5814
(208) 814-8293
Mailing address
725 POLE LINE RD W # 115, TWIN FALLS, ID 83301-5860
(208) 814-8293
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
64556
ID
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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