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Individual

LACEY JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
130 ALFREDO DR STE D, CLARKSVILLE, TN 37042-2750
(206) 247-4097
Mailing address
130 ALFREDO DR STE D, CLARKSVILLE, TN 37042-2750

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
271992
TN
363LF0000X
Family Nurse Practitioner
40611
TN

Other

Enumeration date
01/14/2026
Last updated
01/14/2026
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