Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 01594 | MD |
NPI | 1295997385 |
---|---|
Provider Name | Dr. Stacia N. Jones |
First Address | Lawton, OK 73505-6844 |
Second Address | Fort Belvoir, VA 22060-5285 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2008 |
Last Update Date | 03/02/2022 |