Doctor Name: | MRS. BEVERLY ANNETT JONES |
NPI Number: | 1194716167 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NURSE PRACTITIONER |
License Number: | 1776P |
Business Practice Address: | 700 Cassidy Ave Fredonia, KY - 424119207 |
Business Phone Number: | 2705453386 |
Business Fax Number: | 2705453712 |
Mailing Address: | Po Box 195, 700 Cassidy Avenue FREDONIA |
State: | KY |
Postal Code: | 424110195 |
Phone Number: | 2705453386 |
Fax Number: | 2705453712 |
NPI Enumeration Date: | 10/31/2005 |
NPI Last Update Date: | 11/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 1776P |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |