Individual
JESSICA JONES BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7955
(928) 537-4300
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 522-9400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9947
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/09/2022
Last updated
12/05/2023
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