Doctor Name: | JUANITA J JONES |
NPI Number: | 1760445134 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 125657 |
Business Practice Address: | 1870 Bagnell Dam Blvd Lake Ozark, MO - 650498658 |
Business Phone Number: | 5733652318 |
Business Fax Number: | 5733653009 |
Mailing Address: | Po Box 1500, OSAGE BEACH |
State: | MO |
Postal Code: | 650651500 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/07/2006 |
NPI Last Update Date: | 05/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 125657 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |