Jones, Maudella Grace

Jones, Maudella Grace is an individual health care provider with primary practice located at 154 N Lake Dr , Prestonsburg KY 41653-1270. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jones, Maudella Grace can be contacted via phone (606) 263-4283.

Contact Information

Primary practice address
154 N Lake Dr Prestonsburg KY 41653-1270
Phone: (606) 263-4283
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3007270 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3007270 Kentucky

Profile Details

NPI number 1588920300
LBN Legal business name Jones, Maudella Grace
Credentials APRN, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2012
Last updated Sep 19th, 2023 - about last year

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 1588920300 NPPES
Kentucky Other K073146 MEDICARE
Kentucky MEDICAID 710022650 MEDICARE

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