Jones, Lisa Sue

Jones, Lisa Sue is an individual health care provider with primary practice located at 2400 17Th St , Columbus IN 47201-5351. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jones, Lisa Sue can be contacted via phone (812) 376-5974.

Contact Information

Primary practice address
2400 17Th St Columbus IN 47201-5351
Phone: (812) 376-5974
Fax: (812) 375-3203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001246 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001246A Indiana

Profile Details

NPI number 1336197672
LBN Legal business name Jones, Lisa Sue
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jun 10th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336197672 NPPES
Indiana MEDICAID 200531190
Indiana Other P01292242

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