Individual
SANDRA L JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
(218) 732-2857
Mailing address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
(218) 732-2857
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9178
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0111301
MEDICA #
MN
01
—
0111302
MEDICA #
MN
01
—
0111303
MEDICA #
MN
01
—
122366
UCARE #
MN
01
—
18263
NDBS #
MN
05
—
18686
—
MN
01
—
73A14JO
MNBS #
MN
01
—
73A16JO
MNBS #
MN
01
—
974764
AMERICA'S PPO/ARAZ #
MN
01
—
DA9041015675
PREFERRED ONE #
MN
01
—
HP25782
HEALTHPARTNERS #
MN
Enumeration date
06/09/2006
Last updated
02/13/2008
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