Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | $$$$$$$$$ | OH |
NPI | 1003942178 |
---|---|
Provider Name | Ms. Teresa A Jones |
First Address | Findlay, OH 45840-9305 |
Second Address | Findlay, OH 45840-4503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 05/08/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000540754 | ANTHEM BC/BS (01) | OH |
000000550298 | ANTHEM BC/BS (01) | OH |