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Individual

JENNIFER N JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 751-2740
(765) 741-2905
Mailing address
PO BOX 30309, CHARLESTON, SC 29417-0309
(843) 554-9300
(843) 566-8780

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
01055271A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0105571A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000032203
M-PLAN
IN
01
000000374079
BLUE CROSS BLUE SHIELD
IN
05
2099554
OH
01
6470
PHYSICIAN HEALTH PLAN
IN
Enumeration date
10/24/2006
Last updated
12/17/2007
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