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Mr. Dwight Moody Jones JR., NP-BC
Family Nurse Practitioner in Clarence, Missouri
NPI 1952675381

Dwight Moody Jones JR. is a Family Nurse Practitioner based in Saint Louis, MO and is specialized in Family. Dwight Moody Jones JR. practices in Clarence, MO and has the professional credentials of NP-BC. The NPI Number for Dwight Moody Jones JR. is 1952675381 and holds a License No. 2012006982 (Missouri).

The current practice location address for Dwight Moody Jones JR. is 109 East St, Clarence, MO and can be reached out via phone at 660-699-2124 and via fax at 660-699-3534.

Location: 109 East St, Clarence, MO, 63112-4265
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952675381
Provider Name
Dwight Moody Jones JR.
Credential
NP-BC
Provider Entity Type
Individual
Gender
Male
Address
109 East St, Clarence, MO, 63112-4265
Phone Number
660-699-2124
Fax Number
660-699-3534
Provider Enumeration Date
03/02/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2013028349 01 MO STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
109 East St
City
Clarence
State
Missouri
Zip
63437-1902
Phone Number
660-699-2124
Fax Number
660-699-3534
person
Provider Business Mailing Address Details
Address
109 East St
City
Clarence
State
Missouri
Zip
63437-1902
Phone Number
660-699-2124
Fax Number
660-699-3534
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
2013028349 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2012006982 (Missouri)
Definition
Definition to come...
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