| NPI | 1407860182 |
|---|---|
| Former Name | KRISTIE JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011421) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3004931) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-03-04 |