Individual
MRS. TAMMIE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1096613
KY
163WR0006X
Registered Nurse First Assistant
Primary
1096613
KY
246ZS0410X
Surgical Technologist
1096613
KY
Other
Enumeration date
05/20/2008
Last updated
09/28/2009
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