Individual
LUCY AS AYESHA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PUBLIC HEALTH NURSE
Contact information
Practice address
2411 MARTIN LUTHER KING LANE BLVD, EUGENE, OR 97401-2237
(541) 682-3608
(541) 682-3276
Mailing address
2073 OLYMPIC STREET, SPRINGFIELD, OR 97477
(541) 682-3550
(541) 682-3551
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201407111RN
OR
163WC1500X
Community Health Registered Nurse
201407111RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201407111RN
REGISTERED NURSE
OR
Enumeration date
06/28/2016
Last updated
06/08/2017
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