Individual
ANGELA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11909 TAZWELL DR APT 2, LOUISVILLE, KY 40245-2709
(502) 999-7619
Mailing address
11909 TAZWELL DR APT 2, LOUISVILLE, KY 40245-2709
(502) 999-7619
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2043545
KY
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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