| NPI | 1215488697 |
|---|---|
| Former Name | JACQUELINE S JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 209014994) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |