Doctor Name: | MRS. MALIAKA KAI JONES |
NPI Number: | 1396954103 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | F303902 |
Business Practice Address: | 101 Sun Meadow Dr Centerton, AR - 727199610 |
Business Phone Number: | 4797950426 |
Business Fax Number: | 4797950427 |
Mailing Address: | 101 Sun Meadow Dr, Po Box 34 CENTERTON |
State: | AR |
Postal Code: | 727199610 |
Phone Number: | 4797950426 |
Fax Number: | 4797950427 |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 09/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | F303902 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |