Individual
MR. DWIGHT MOODY JONES JR.
Active
Individual
MR. DWIGHT MOODY JONES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2012006982
MO
363LF0000X
Family Nurse Practitioner
Primary
2013028349
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013028349
STATE LICENSE
MO
Enumeration date
03/02/2012
Last updated
03/17/2022
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