Doctor Name: | SARAH M JONES |
NPI Number: | 1003169947 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | |
Business Practice Address: | 700 W Ironwood Dr 275 Coeur D Alene, ID - 838142656 |
Business Phone Number: | 2086254780 |
Business Fax Number: | |
Mailing Address: | 700 W Ironwood Dr, 275 COEUR D ALENE |
State: | ID |
Postal Code: | 838142656 |
Phone Number: | 2086254780 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2012 |
NPI Last Update Date: | 01/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |