Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | AP60868259 | WA |
NPI | 1083107981 |
---|---|
Provider Name | Lori C Jones |
First Address | Wenatchee, WA 98801-2028 |
Second Address | Oroville, WA 98844 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2018 |
Last Update Date | 25/07/2018 |