Latisha Ardelia Jones

NPI 1164694857 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1164694857
Gender Female
Enumeration Date 04/02/2008
Last Updated 04/02/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1275 YORK AVE
NEW YORK NY, 10065-6007, US
Phone (212) 639-5948
Fax
Business Location
1275 YORK AVE
NEW YORK NY, 10065-6007, US
Phone
Fax
Toxanomy
Taxonomy Code 363LP0200X
License State New York
License Number 381963
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According to our database, Ms. Latisha Ardelia Jones NPI is 1164694857, taxonomy code is 363LP0200X and license number is 381963, license state is located at New York. Latisha Ardelia Jones physically located at 1275 York Ave, New York NY, 10065-6007. NPI Number Latisha Ardelia Jones has the Individual type.

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1164694857 NPI number is provided on an as is basis without warranty of any kind. 1164694857 is maintained by the National Plan & Provider Enumeration System. The contents of Latisha Ardelia Jones are for informational purposes only.