| NPI | 1699503243 |
|---|---|
| Former Name | STEPHANIE KRISTIN JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 80107) |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-07-25 |