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Individual

MARCIA LEE JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
214 PACA ST STE A, CUMBERLAND, MD 21502-2844
(240) 362-7557
Mailing address
SPRINGFIELD PIKE, PO BOX 84, SPRINGFIELD, WV 26763-0000
(304) 822-2500
(304) 822-2506

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
55323
WV
363L00000X
Nurse Practitioner
R158658
MD
363LF0000X
Family Nurse Practitioner
0024167948
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0024167948
VA LICENSE
VA
05
3810020900
WV
Enumeration date
08/28/2008
Last updated
04/25/2022
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