Doctor Name: | OLIVIA A JONES |
NPI Number: | 1184000879 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 058167-23 |
Business Practice Address: | 14 Maple Street Gilford, NH - 032496578 |
Business Phone Number: | 6035245816 |
Business Fax Number: | 6035246984 |
Mailing Address: | Po Box 1327, LACONIA |
State: | NH |
Postal Code: | 032471327 |
Phone Number: | 6035243211 |
Fax Number: | 6035277038 |
NPI Enumeration Date: | 08/04/2015 |
NPI Last Update Date: | 10/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 058167-23 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |