Doctor Name: | MISS SUSIE J JONES |
NPI Number: | 1023187408 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 3003385 |
Business Practice Address: | 225 Medical Center Dr Suite 307 Paducah, KY - 420037914 |
Business Phone Number: | 2704414700 |
Business Fax Number: | 2704414707 |
Mailing Address: | 225 Medical Center Dr, Suite 307 PADUCAH |
State: | KY |
Postal Code: | 420037914 |
Phone Number: | 2704414700 |
Fax Number: | 2704414707 |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 07/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3003385 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |