Jones, Susan Nicole

Jones, Susan Nicole is an individual health care provider with primary practice located at 3800 S National Ave Ste 510 , Springfield MO 65807-5284. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jones, Susan Nicole can be contacted via phone (417) 875-3000.

Contact Information

Primary practice address
3800 S National Ave Ste 510 Springfield MO 65807-5284
Phone: (417) 875-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 200927 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2020035901 Missouri

Profile Details

NPI number 1508457664
LBN Legal business name Jones, Susan Nicole
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2021
Last updated Nov 30th, 2022 - about 2 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 1508457664 NPPES
Missouri MEDICAID 420108962

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