Individual
MR. GLEN DARNELL JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
307 LINDAUER CV, FORREST CITY, AR 72335-2932
(501) 310-8899
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R82671
AR
163WC0200X
Critical Care Medicine Registered Nurse
R82671
AR
163WE0003X
Emergency Registered Nurse
R82671
AR
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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